Physician
Fontenot Healthcare INC.
Fontenot Healthcare INC. was paid $251K by Medicaid between Jan 2018 and Jul 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoFONTENOT HEALTHCARE INC.
VILLE PLATTE, LA 70586
VILLE PLATTE, LA 70586
33aNPI1790713444assigned 06/30/2006
33bProvider typeInternal Medicine Physician
28Total paid$251K
24GClaims14,970
24DCodes billed30
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Internal Medicine Physician providers in Louisiana
Rank by total paid#62 of 290
Median peer was paid$27K
This provider vs. median9.4×
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 | 3,394 | $56K | |
| 2019 | 3,423 | $54K | |
| 2020 | 3,465 | $54K | |
| 2021 | 2,821 | $51K | |
| 2022 | 1,022 | $19K | |
| 2023 | 650 | $14K | |
| 2024incomplete | 195 | $3K |
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 | 60% | 5,100 | 4,424 | $150K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 2,730 | 1,091 | $35K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 6.5% | 145 | 131 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 621 | 533 | $15K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.7% | 2,268 | 2,092 | $12K |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | 2.1% | 398 | 355 | $5K |
| 99490 | Ccm add 20min | 1.5% | 1,756 | 1,717 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 193 | 175 | $4K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | 12 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 54 | 52 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 515 | 433 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 14 | 14 | $1K |
18 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $949.39 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $675.92 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 14 | $550.87 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 71 | $402.29 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | $329.82 |
| 90756 | <1% | 126 | $202.71 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 100 | $164.22 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 14 | $133.04 |
| 99443 | <1% | 14 | $67.90 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 67 | $43.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 161 | $36.11 |
| 90674 | <1% | 56 | $24.05 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $0.48 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 83 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 184 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 182 | $0.00 |
| 80305 | 0% | 16 | $0.00 | |
| 99310 | Prolong nursin fac eval 15m | 0% | 21 | $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 officialFONTENOT, JAMES (OWNER)