Medicaid Provider Spending

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

LOUISIANA STATE UNIVERSITY SCHOOL OF MED IN NEW ORLEANS FACULTY GROU

NPI: 1932492626 · NEW ORLEANS, LA 70118 · Pediatrics Physician · NPI assigned 05/27/2011

$42.96M
Total Medicaid Paid
740,191
Total Claims
548,661
Beneficiaries
122
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCAVOY, ATARA (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date05/27/2011

Related Entities

Other providers sharing the same authorized official: MCAVOY, ATARA

ProviderCityStateTotal Paid
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G NEW ORLEANS LA $68.03M
LSUHN BILLING LLC LAFAYETTE LA $45.63M
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY NEW ORLEANS LA $21.57M
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY KENNER LA $1.73M
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G NEW ORLEANS LA $40K
LSUHN BILLING LLC BATON ROUGE LA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66,880 $4.25M
2019 80,969 $4.89M
2020 68,224 $5.28M
2021 82,217 $7.72M
2022 77,882 $7.44M
2023 163,042 $7.67M
2024 200,977 $5.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 63,247 56,690 $5.67M
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 17,656 3,471 $5.32M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 26,119 23,928 $3.44M
99233 Prolong inpt eval add15 m 43,992 14,663 $3.29M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48,164 44,197 $3.05M
99479 Subsequent intensive care, per day, very low birth weight infant 26,679 6,540 $2.72M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28,435 26,165 $2.37M
99232 Subsequent hospital care, per day, moderate complexity 38,838 16,253 $2.04M
99215 Prolong outpt/office vis 15,638 12,463 $2.03M
99480 Subsequent intensive care, per day, low birth weight infant 20,719 5,539 $1.88M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 9,176 4,120 $1.85M
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 4,350 1,176 $1.41M
90792 Psychiatric diagnostic evaluation with medical services 7,434 5,847 $897K
99238 Hospital discharge day management, 30 minutes or less 11,308 10,122 $647K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 8,089 7,287 $614K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 8,576 7,297 $557K
99222 Initial hospital care, per day, moderate complexity 4,848 3,983 $514K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 2,168 1,933 $378K
54161 2,708 2,184 $348K
99205 Prolong outpt/office vis 1,685 1,520 $290K
99460 3,943 3,404 $276K
99239 Hospital discharge day management, more than 30 minutes 3,120 2,800 $269K
93304 6,919 5,573 $260K
99223 Prolong inpt eval add15 m 1,751 1,249 $244K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,610 5,090 $210K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 29,070 23,452 $198K
93325 22,378 17,993 $181K
93320 8,754 7,438 $180K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,940 2,213 $144K
95720 852 584 $115K
95816 3,038 2,011 $114K
42820 Tonsillectomy and adenoidectomy; younger than age 12 438 385 $108K
93321 10,417 8,632 $92K
99226 2,041 508 $91K
99462 2,786 1,973 $90K
95951 508 301 $89K
99468 107 89 $85K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,242 1,125 $77K
95819 1,675 1,304 $77K
99219 707 679 $74K
54150 708 507 $66K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,172 1,100 $59K
93308 2,337 2,005 $58K
99477 174 150 $45K
93000 3,292 2,906 $43K
76825 542 472 $38K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 159 130 $36K
99225 1,245 831 $28K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 496 430 $27K
64642 219 177 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 484 384 $20K
99471 27 26 $18K
31622 143 96 $17K
64643 188 154 $16K
90791 Psychiatric diagnostic evaluation 279 224 $15K
76827 547 473 $14K
99418 Prolong nursin fac eval 15m 624 275 $13K
93356 344 327 $11K
42830 75 69 $10K
99220 81 69 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 168 147 $9K
99221 137 89 $9K
31525 123 77 $8K
93531 21 12 $7K
54640 18 12 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 175 56 $5K
99417 Prolong home eval add 15m 548 310 $5K
69210 126 89 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 420 360 $4K
93244 214 190 $4K
99218 70 66 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 275 249 $4K
95874 368 206 $3K
29705 132 95 $3K
93227 225 199 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 50 37 $3K
76820 100 81 $2K
99284 Emergency department visit for the evaluation and management, high severity 27 18 $2K
90832 Psychotherapy, 30 minutes with patient 51 27 $1K
31526 13 12 $1K
93224 41 27 $1K
99464 15 15 $1K
96102 78 55 $1K
99235 13 12 $1K
83021 112 51 $959.20
95812 16 14 $766.64
77001 54 42 $763.28
96161 176 136 $686.19
96040 43 35 $405.89
99201 14 14 $389.68
99173 222 189 $383.97
96101 14 14 $382.14
96130 43 30 $371.12
81003 293 231 $335.08
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 15 14 $290.60
1160F 44,822 39,079 $131.19
76937 17 14 $114.78
81002 87 72 $112.78
93050 16 13 $96.13
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 12 $64.64
1159F 44,193 38,505 $61.13
92504 284 223 $22.41
0298T 75 72 $3.52
99499 409 116 $0.48
1126F 22,004 19,226 $0.00
3074F 17,083 14,565 $0.00
3008F 27,104 23,580 $0.00
1031F 19,027 16,527 $0.00
1125F 3,105 2,667 $0.00
3048F 57 52 $0.00
3044F 182 169 $0.00
1036F 290 268 $0.00
3351F 291 209 $0.00
88720 170 36 $0.00
3075F 76 65 $0.00
4010F 49 39 $0.00
4000F 14 14 $0.00
3079F 23 19 $0.00
3352F 57 49 $0.00
3078F 17,759 15,220 $0.00
1033F 25,053 21,426 $0.00
1032F 260 227 $0.00