Physician
Elfert, Joseph
Elfert, Joseph was paid $899K by Medicaid between Jan 2018 and Jul 2020, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoELFERT, JOSEPH
CROWLEY, LA 70526
CROWLEY, LA 70526
33aNPI1790745073assigned 03/23/2006
33bProvider typePediatrics Physician
28Total paid$899K
24GClaims32,642
24DCodes billed33
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#88 of 230
Median peer was paid$429K
This provider vs. median2.1×
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
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 | 12,996 | $387K | |
| 2019 | 13,747 | $366K | |
| 2020 | 5,899 | $146K |
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 | 35% | 6,997 | 6,088 | $311K |
| 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 | 25% | 3,333 | 2,972 | $226K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 751 | 714 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 643 | 604 | $46K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 680 | 632 | $44K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.2% | 2,818 | 2,584 | $38K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.0% | 1,571 | 1,457 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.9% | 1,266 | 1,140 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 545 | 521 | $32K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 3,500 | 2,446 | $32K |
| 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 | 2.2% | 193 | 177 | $20K |
| 92567 | 1.9% | 1,404 | 1,297 | $17K |
21 more codes
| 92551 | <1% | 1,260 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 347 | $3K |
| 95115 | <1% | 376 | $3K | |
| 99173 | <1% | 1,264 | $2K | |
| 81002 | <1% | 25 | $63.50 | |
| 90744 | 0% | 175 | $0.00 | |
| 90716 | 0% | 156 | $0.00 | |
| 90686 | 0% | 873 | $0.00 | |
| 90651 | 0% | 206 | $0.00 | |
| 90620 | 0% | 428 | $0.00 | |
| 90648 | 0% | 630 | $0.00 | |
| 90713 | 0% | 598 | $0.00 | |
| 90633 | 0% | 316 | $0.00 | |
| 90734 | 0% | 254 | $0.00 | |
| 90707 | 0% | 189 | $0.00 | |
| 90670 | 0% | 624 | $0.00 | |
| 90685 | 0% | 160 | $0.00 | |
| 90700 | 0% | 793 | $0.00 | |
| 90649 | 0% | 184 | $0.00 | |
| 90715 | 0% | 55 | $0.00 | |
| 90658 | 0% | 28 | $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.