NP / PA
South Louisiana Medical Associates
South Louisiana Medical Associates was paid $7.37M by Medicaid between Jan 2018 and Dec 2024, across 136 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoSOUTH LOUISIANA MEDICAL ASSOCIATES
HOUMA, LA 70363
HOUMA, LA 70363
33aNPI1710944012assigned 04/28/2006
33bProvider typeNurse Practitioner
28Total paid$7.37M
24GClaims655,413
24DCodes billed136
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Louisiana
Rank by total paid#1 of 62
Median peer was paid$13K
This provider vs. median552×
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 | 57,489 | $1.09M | |
| 2019 | 61,926 | $1.00M | |
| 2020 | 52,004 | $818K | |
| 2021 | 39,765 | $889K | |
| 2022 | 123,134 | $1.28M | |
| 2023 | 191,790 | $1.32M | |
| 2024incomplete | 129,305 | $966K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 67,893 | 60,962 | $2.66M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 78,661 | 69,717 | $2.43M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 17,320 | 15,566 | $395K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.9% | 3,608 | 3,374 | $216K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 3,005 | 2,797 | $196K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 2,680 | 2,522 | $175K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.1% | 2,092 | 1,999 | $157K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 2,379 | 1,984 | $127K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 1,628 | 1,541 | $116K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.5% | 2,729 | 2,568 | $111K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 8,829 | 7,555 | $105K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 1,593 | 1,473 | $74K |
124 more codes
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,755 | $62K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 890 | $61K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,067 | $61K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,997 | $53K |
| 99285 | Emergency room visit (most serious) | <1% | 423 | $41K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,796 | $40K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,483 | $36K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,445 | $28K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 464 | $25K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 467 | $21K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 1,224 | $18K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 584 | $17K |
| 73630 | <1% | 884 | $15K | |
| 99490 | Ccm add 20min | <1% | 2,952 | $13K |
| 99497 | <1% | 4,072 | $10K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 180 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 136 | $7K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 228 | $7K |
| 87210 | <1% | 3,066 | $5K | |
| 0240U | <1% | 80 | $5K | |
| 99442 | <1% | 434 | $5K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 790 | $5K |
| 99220 | <1% | 123 | $5K | |
| 20550 | <1% | 148 | $4K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 14 | $3K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 114 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 29 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,291 | $2K |
| 99219 | <1% | 62 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 110 | $2K |
| 99441 | <1% | 329 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 91 | $2K |
| 92551 | <1% | 249 | $2K | |
| 0012A | <1% | 99 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 53 | $2K |
| 58100 | <1% | 32 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 28 | $2K |
| 99221 | <1% | 42 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 186 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 45 | $1K |
| 76642 | <1% | 56 | $1K | |
| 99406 | <1% | 472 | $1K | |
| 96161 | <1% | 506 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 166 | $1K |
| 99225 | <1% | 72 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,323 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 16 | $1K |
| 0011A | <1% | 119 | $1K | |
| 57454 | <1% | 17 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 362 | $884.74 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 13 | $855.80 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 2,331 | $843.26 |
| 99385 | <1% | 14 | $736.08 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 117 | $678.35 |
| 94729 | <1% | 61 | $663.13 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 15 | $616.46 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 1,223 | $574.55 |
| 93356 | <1% | 45 | $565.96 | |
| 90688 | <1% | 38 | $548.17 | |
| 94727 | <1% | 61 | $535.19 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $533.36 |
| 71045 | Radiologic examination, chest; single view | <1% | 88 | $465.65 |
| 94060 | <1% | 40 | $459.78 | |
| 90682 | <1% | 18 | $458.47 | |
| 0001A | <1% | 19 | $432.88 | |
| 99173 | <1% | 328 | $392.02 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 2,053 | $264.66 |
| 99188 | <1% | 15 | $264.55 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 16,166 | $213.30 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,136 | $188.33 |
| 96127 | <1% | 459 | $179.64 | |
| 94010 | <1% | 27 | $174.88 | |
| G0008 | Administration of influenza virus vaccine | <1% | 428 | $108.50 |
| 90686 | <1% | 3,140 | $53.17 | |
| 1159F | <1% | 59,162 | $0.24 | |
| 3078F | 0% | 41,641 | $0.00 | |
| 3077F | 0% | 9,375 | $0.00 | |
| 1160F | 0% | 48,422 | $0.00 | |
| 2022F | 0% | 545 | $0.00 | |
| 3288F | 0% | 4,070 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 250 | $0.00 |
| 90670 | 0% | 410 | $0.00 | |
| 90633 | 0% | 96 | $0.00 | |
| 3045F | 0% | 196 | $0.00 | |
| 3046F | 0% | 370 | $0.00 | |
| 90685 | 0% | 61 | $0.00 | |
| 3051F | 0% | 28 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 788 | $0.00 |
| 98960 | 0% | 793 | $0.00 | |
| 3725F | 0% | 736 | $0.00 | |
| 1158F | 0% | 49 | $0.00 | |
| G9510 | Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5 | 0% | 16 | $0.00 |
| 90734 | 0% | 52 | $0.00 | |
| 90621 | 0% | 13 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 14 | $0.00 |
| 91300 | 0% | 23 | $0.00 | |
| 1100F | 0% | 26 | $0.00 | |
| 3074F | 0% | 40,830 | $0.00 | |
| 3079F | 0% | 17,850 | $0.00 | |
| 3044F | 0% | 13,916 | $0.00 | |
| 3008F | 0% | 106,690 | $0.00 | |
| 3066F | 0% | 5,383 | $0.00 | |
| 3080F | 0% | 2,706 | $0.00 | |
| 3061F | 0% | 1,252 | $0.00 | |
| 1034F | 0% | 2,812 | $0.00 | |
| 4010F | 0% | 16,270 | $0.00 | |
| 1125F | 0% | 227 | $0.00 | |
| 1101F | 0% | 4,282 | $0.00 | |
| 3075F | 0% | 10,651 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,075 | $0.00 |
| 1126F | 0% | 1,303 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 787 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 2,201 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 427 | $0.00 |
| 90651 | 0% | 43 | $0.00 | |
| 1111F | 0% | 48 | $0.00 | |
| 3072F | 0% | 279 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 17 | $0.00 |
| 90723 | 0% | 31 | $0.00 | |
| 90698 | 0% | 179 | $0.00 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 14 | $0.00 |
| 91301 | 0% | 130 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 24 | $0.00 |
| 90647 | 0% | 13 | $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 officialGARCIA, MICHAEL (CEO MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| South Louisiana Medical Associates | Houma, LA | $21.34M |
| Pediatric Associates PLLC | Palestine, TX | $4.24M |
| Medenvios Healthcare, INC. | Miami, FL | $1.20M |
| Helping Hand Pharmacy, LLC | Katy, TX | $832K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.