Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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DR Ginger Delafosse LLC

DR Ginger Delafosse LLC was paid $27K by Medicaid between Oct 2022 and Oct 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 62% of everything it billed.

33Billing provider infoDR GINGER DELAFOSSE LLC
VILLE PLATTE, LA 70586
33aNPI1710632518assigned 02/21/2022
33bProvider typeOptometrist
28Total paid$27K
24GClaims1,181
24DCodes billed6
24AFirst – last monthOct 2022 – Oct 2024
Compared with peers

Next to other Optometrist providers in Louisiana

Rank by total paid#341 of 442
Median peer was paid$199K
This provider vs. median0.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
202217$1K
2023589$16K
2024incomplete575$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 62% 271 212 $17K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 65 43 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 10.0% 124 91 $3K
92015 Determination of refractive state 8.3% 386 272 $2K
V2020 Frames, purchases 7.2% 263 172 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 1.0% 72 37 $284.28

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 officialDELAFOSSE, GINGER (OWNER)