Cusimano Plastic Surgery LLC

Cusimano Plastic Surgery LLC was paid $131K by Medicaid between Oct 2018 and Oct 2021, across 4 billing codes. Its largest line is 19318, — 85% of everything it billed.

33Billing provider infoCUSIMANO PLASTIC SURGERY LLC
BATON ROUGE, LA 70808

33aNPI1851882997assigned 05/24/2018

33bProvider typePlastic and Reconstructive Surgery Physician

28Total paid$131K

24GClaims469

24DCodes billed4

24AFirst – last monthOct 2018 – Oct 2021

Compared with peers

Next to other Plastic and Reconstructive Surgery Physician providers in Louisiana

Rank by total paid#3 of 7

Median peer was paid$27K

This provider vs. median4.8×

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
2018	17	$427.70
2019	112	$5K
2020	207	$53K
2021	133	$72K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
19318		85%	124	96	$111K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.6%	233	228	$11K
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	5.9%	95	92	$8K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	17	12	$427.70

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 officialFALLIN, CHRIS (BILLING MANAGER)