Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LORI GAUTREAUX BERGERON LLC

NPI: 1912369851 · LAFAYETTE, LA 70506 · Internal Medicine Physician · NPI assigned 03/21/2016

$247K
Total Medicaid Paid
32,200
Total Claims
26,693
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAUTREAUX, LORI (MD/OWNER)
NPI Enumeration Date03/21/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 275 $207.65
2019 403 $490.08
2020 648 $903.72
2021 955 $2K
2022 2,835 $55K
2023 16,071 $126K
2024 11,013 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,685 2,207 $113K
99497 1,731 1,517 $62K
99215 Prolong outpt/office vis 703 651 $40K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 145 134 $12K
99401 279 213 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 193 172 $3K
99490 Ccm add 20min 2,095 2,007 $3K
99205 Prolong outpt/office vis 17 17 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 26 26 $2K
90682 18 17 $913.64
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $802.84
90674 37 32 $782.68
96127 342 249 $638.25
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 44 40 $573.30
99439 564 542 $432.63
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 240 179 $320.12
3044F 895 751 $300.02
3074F 1,446 1,217 $280.34
3079F 1,478 1,233 $280.26
G0444 Annual depression screening, 5 to 15 minutes 127 93 $270.44
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 35 29 $244.15
G0442 Annual alcohol misuse screening, 5 to 15 minutes 219 159 $206.08
90661 37 13 $148.14
3078F 749 647 $135.26
3075F 793 667 $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) 345 287 $117.25
80305 24 21 $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.) 25 25 $58.50
99442 16 12 $46.32
96161 242 180 $37.80
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,684 1,981 $29.83
96160 195 160 $9.08
3077F 152 134 $5.07
3080F 151 122 $0.12
1125F 1,723 1,398 $0.00
3048F 252 210 $0.00
1126F 1,029 881 $0.00
3049F 50 46 $0.00
1170F 2,451 2,007 $0.00
3330F 121 106 $0.00
3319F 90 80 $0.00
3060F 332 295 $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) 107 101 $0.00
4010F 625 509 $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)). 36 36 $0.00
1101F 46 44 $0.00
1157F 20 19 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 81 75 $0.00
3008F 197 135 $0.00
4004F 598 514 $0.00
1160F 2,417 1,905 $0.00
1159F 2,416 1,903 $0.00
4013F 561 454 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 228 169 $0.00
3050F 28 25 $0.00
G8482 Influenza immunization administered or previously received 48 35 $0.00