Physician
Richard Rathbone, M.D. - Amc
Richard Rathbone, M.D. - Amc was paid $62K by Medicaid between Jan 2018 and Sep 2019, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoRICHARD RATHBONE, M.D. - AMC
CLINTON, LA 70722
CLINTON, LA 70722
33aNPI1831370444assigned 11/26/2007
33bProvider typeGeneral Practice Physician
28Total paid$62K
24GClaims6,428
24DCodes billed20
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other General Practice Physician providers in Louisiana
Rank by total paid#26 of 43
Median peer was paid$105K
This provider vs. median0.6×
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 | 4,236 | $37K | |
| 2019 | 2,192 | $25K |
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 | 84% | 1,857 | 1,318 | $52K |
| 80305 | 8.4% | 1,342 | 948 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.1% | 125 | 90 | $4K |
| 82947 | <1% | 294 | 200 | $320.62 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 143 | 109 | $309.20 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 18 | 15 | $249.18 |
| 90756 | <1% | 15 | 12 | $113.95 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | 15 | $98.88 |
| 1036F | 0% | 282 | 203 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 112 | 82 | $0.00 |
| 3074F | 0% | 132 | 94 | $0.00 | |
| 4000F | 0% | 59 | 43 | $0.00 |
8 more codes
| 3079F | 0% | 32 | $0.00 | |
| 4050F | 0% | 14 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 650 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 350 | $0.00 |
| 3078F | 0% | 65 | $0.00 | |
| 4004F | 0% | 296 | $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% | 59 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 567 | $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 officialRATHBONE, RICHARD (OWNER)