Clinic
LSMD Medical LLC
LSMD Medical LLC was paid $108K by Medicaid between Mar 2021 and Jun 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoLSMD MEDICAL LLC
YOUNGSVILLE, LA 70592
YOUNGSVILLE, LA 70592
33aNPI1720623010assigned 11/11/2019
33bProvider typeClinic/Center
28Total paid$108K
24GClaims5,959
24DCodes billed25
24AFirst – last monthMar 2021 – Jun 2024
Compared with peers
Next to other Clinic/Center providers in Louisiana
Rank by total paid#61 of 112
Median peer was paid$138K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2021 | 767 | $20K | |
| 2022 | 1,470 | $28K | |
| 2023 | 3,160 | $47K | |
| 2024incomplete | 562 | $13K |
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 | 50% | 1,888 | 1,627 | $54K |
| 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 | 26% | 656 | 607 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.5% | 212 | 194 | $9K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.7% | 96 | 90 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.9% | 80 | 75 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.6% | 81 | 75 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 675 | 618 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12 | 12 | $397.20 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 145 | 87 | $261.81 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 235 | 212 | $260.00 |
| H0049 | Alcohol and/or drug screening | <1% | 157 | 124 | $172.32 |
| 99173 | <1% | 234 | 192 | $132.30 |
13 more codes
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 officialSYLVESTER, TONIA (CLINICAL COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| KP Medical LLC | Lafayette, LA | $73K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.