Physician
Metairie Physician Services INC.
Metairie Physician Services INC. was paid $1.12M by Medicaid between Jan 2018 and Sep 2021, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoMETAIRIE PHYSICIAN SERVICES INC.
METAIRIE, LA 70006
METAIRIE, LA 70006
33aNPI1801233648assigned 06/03/2013
33bProvider typeInterventional Pain Medicine Physician
28Total paid$1.12M
24GClaims58,696
24DCodes billed48
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Interventional Pain Medicine Physician providers in Louisiana
Rank by total paid#3 of 19
Median peer was paid$52K
This provider vs. median22×
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 | 15,510 | $188K | |
| 2019 | 13,144 | $170K | |
| 2020 | 16,998 | $394K | |
| 2021 | 13,044 | $370K |
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 | 41% | 12,390 | 9,145 | $465K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 19% | 8,823 | 5,931 | $213K |
| 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 | 12% | 2,964 | 2,377 | $136K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 8.3% | 23,531 | 18,845 | $94K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 7.5% | 1,425 | 1,303 | $84K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 1,367 | 477 | $25K |
| 76830 | Ultrasound, transvaginal | 1.9% | 351 | 323 | $22K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.9% | 257 | 239 | $21K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.5% | 443 | 404 | $17K |
| 81025 | <1% | 2,063 | 1,761 | $11K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 89 | 75 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 140 | 51 | $5K |
36 more codes
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 57 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 61 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 42 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 113 | $3K |
| 99223 | Prolong inpt eval add15 m | <1% | 67 | $2K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 39 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 139 | $1K |
| 59430 | <1% | 12 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $1K |
| 99385 | <1% | 19 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $554.80 |
| 59025 | Fetal non-stress test | <1% | 48 | $497.74 |
| 87210 | <1% | 156 | $438.40 | |
| 93000 | <1% | 144 | $406.01 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 77 | $247.00 |
| 99224 | <1% | 15 | $180.04 | |
| 81002 | <1% | 53 | $93.45 | |
| 99217 | <1% | 18 | $42.20 | |
| 1036F | 0% | 503 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 105 | $0.00 |
| 0509F | 0% | 29 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 49 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 381 | $0.00 |
| 1111F | 0% | 270 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 27 | $0.00 |
| 0500F | 0% | 54 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 923 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 756 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 247 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 154 | $0.00 |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 30 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 136 | $0.00 |
| G9709 | Hospice services used by patient any time during the measurement period | 0% | 27 | $0.00 |
| 1090F | 0% | 17 | $0.00 | |
| 4040F | 0% | 47 | $0.00 | |
| 3078F | 0% | 12 | $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 officialMERCADAL, RHONDA (CBO-REVENUE CYCLE SUPERVISOR)