Clinic
Gary M. Agena MD LLC
Gary M. Agena MD LLC was paid $305K by Medicaid between Jan 2018 and Jul 2023, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoGARY M. AGENA MD LLC
MADISONVILLE, LA 70447
MADISONVILLE, LA 70447
33aNPI1699021410assigned 07/30/2012
33bProvider typeHealth Service Clinic/Center
28Total paid$305K
24GClaims8,414
24DCodes billed17
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Health Service Clinic/Center providers in Louisiana
Rank by total paid#5 of 16
Median peer was paid$95K
This provider vs. median3.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 955 | $34K | |
| 2019 | 2,814 | $121K | |
| 2020 | 1,526 | $55K | |
| 2021 | 1,129 | $41K | |
| 2022 | 1,518 | $53K | |
| 2023 | 472 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 68% | 5,524 | 3,404 | $207K |
| 0502F | 14% | 1,902 | 1,041 | $43K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.5% | 232 | 217 | $14K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 4.1% | 202 | 158 | $12K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 3.4% | 139 | 137 | $10K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.5% | 13 | 13 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.4% | 72 | 60 | $4K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 28 | 12 | $2K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | 12 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 13 | 12 | $874.44 |
| 81025 | <1% | 139 | 135 | $759.31 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $725.40 |
5 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 39 | $437.52 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | $249.90 |
| 90656 | <1% | 13 | $237.24 | |
| 81003 | <1% | 38 | $17.92 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 18 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAGENA, GARY (MD/OWNER)