Physician
Lori Gautreaux Bergeron LLC
Lori Gautreaux Bergeron LLC was paid $247K by Medicaid between Jan 2018 and Nov 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoLORI GAUTREAUX BERGERON LLC
LAFAYETTE, LA 70506
LAFAYETTE, LA 70506
33aNPI1912369851assigned 03/21/2016
33bProvider typeInternal Medicine Physician
28Total paid$247K
24GClaims32,200
24DCodes billed56
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Louisiana
Rank by total paid#63 of 290
Median peer was paid$27K
This provider vs. median9.3×
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 | 275 | $207.65 | |
| 2019 | 403 | $490.08 | |
| 2020 | 648 | $903.72 | |
| 2021 | 955 | $2K | |
| 2022 | 2,835 | $55K | |
| 2023 | 16,071 | $126K | |
| 2024incomplete | 11,013 | $63K |
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 | 46% | 2,685 | 2,207 | $113K |
| 99497 | 25% | 1,731 | 1,517 | $62K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 703 | 651 | $40K |
| 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 | 4.8% | 145 | 134 | $12K |
| 99401 | 1.5% | 279 | 213 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 193 | 172 | $3K |
| 99490 | Ccm add 20min | 1.1% | 2,095 | 2,007 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 17 | 17 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | 26 | $2K |
| 90682 | <1% | 18 | 17 | $913.64 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $802.84 |
| 90674 | <1% | 37 | 32 | $782.68 |
44 more codes
| 96127 | <1% | 342 | $638.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 44 | $573.30 |
| 99439 | <1% | 564 | $432.63 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 240 | $320.12 |
| 3044F | <1% | 895 | $300.02 | |
| 3074F | <1% | 1,446 | $280.34 | |
| 3079F | <1% | 1,478 | $280.26 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 127 | $270.44 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | $244.15 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 219 | $206.08 |
| 90661 | <1% | 37 | $148.14 | |
| 3078F | <1% | 749 | $135.26 | |
| 3075F | <1% | 793 | $135.24 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 345 | $117.25 |
| 80305 | <1% | 24 | $112.20 | |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 25 | $58.50 |
| 99442 | <1% | 16 | $46.32 | |
| 96161 | <1% | 242 | $37.80 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,684 | $29.83 |
| 96160 | <1% | 195 | $9.08 | |
| 3077F | <1% | 152 | $5.07 | |
| 3080F | <1% | 151 | $0.12 | |
| 1125F | 0% | 1,723 | $0.00 | |
| 3048F | 0% | 252 | $0.00 | |
| 1126F | 0% | 1,029 | $0.00 | |
| 3049F | 0% | 50 | $0.00 | |
| 1170F | 0% | 2,451 | $0.00 | |
| 3330F | 0% | 121 | $0.00 | |
| 3319F | 0% | 90 | $0.00 | |
| 3060F | 0% | 332 | $0.00 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 107 | $0.00 |
| 4010F | 0% | 625 | $0.00 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | 0% | 36 | $0.00 |
| 1101F | 0% | 46 | $0.00 | |
| 1157F | 0% | 20 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 81 | $0.00 |
| 3008F | 0% | 197 | $0.00 | |
| 4004F | 0% | 598 | $0.00 | |
| 1160F | 0% | 2,417 | $0.00 | |
| 1159F | 0% | 2,416 | $0.00 | |
| 4013F | 0% | 561 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 228 | $0.00 |
| 3050F | 0% | 28 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 48 | $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 officialGAUTREAUX, LORI (MD/OWNER)