Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › HOUMA › SOUTH LOUISIANA MEDICAL ASSOCIATES

SOUTH LOUISIANA MEDICAL ASSOCIATES

NPI: 1942301379 · HOUMA, LA 70363 · Anesthesiology Physician · NPI assigned 09/26/2006

$21.34M
Total Medicaid Paid
1,097,371
Total Claims
962,494
Beneficiaries
242
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, MICHAEL (CEO/MEDICAL DIRECTOR)
NPI Enumeration Date09/26/2006

Related Entities

Other providers sharing the same authorized official: GARCIA, MICHAEL

ProviderCityStateTotal Paid
SOUTH LOUISIANA MEDICAL ASSOCIATES HOUMA LA $7.37M
PEDIATRIC ASSOCIATES PLLC PALESTINE TX $4.24M
MEDENVIOS HEALTHCARE, INC. MIAMI FL $1.20M
HELPING HAND PHARMACY, LLC KATY TX $832K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 150,599 $4.06M
2019 163,954 $3.99M
2020 132,292 $3.12M
2021 98,191 $2.83M
2022 158,334 $2.54M
2023 234,493 $2.81M
2024 159,508 $1.99M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 91,322 81,979 $3.49M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90,897 79,629 $2.66M
99284 Emergency department visit for the evaluation and management, high severity 39,660 37,021 $2.62M
99283 Emergency department visit for the evaluation and management, moderate severity 51,463 48,198 $1.95M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 21,442 19,745 $1.91M
99232 Subsequent hospital care, per day, moderate complexity 29,559 8,053 $1.06M
77067 Screening mammography, bilateral, including computer-aided detection 13,576 13,024 $371K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9,519 8,679 $364K
74177 Computed tomography, abdomen and pelvis; with contrast material 6,444 5,990 $341K
99215 Prolong outpt/office vis 6,139 5,054 $329K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,594 1,498 $314K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,715 12,449 $288K
88305 Level IV - Surgical pathology, gross and microscopic examination 9,440 8,749 $279K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,892 3,536 $255K
99223 Prolong inpt eval add15 m 2,779 2,345 $253K
70450 Computed tomography, head or brain; without contrast material 5,907 5,197 $236K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 8,339 7,389 $231K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 924 849 $214K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 3,257 3,055 $187K
20610 4,829 4,165 $184K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 36,056 29,624 $169K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,489 3,308 $157K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,828 4,430 $156K
71250 3,188 2,958 $135K
99238 Hospital discharge day management, 30 minutes or less 3,534 3,066 $130K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 955 880 $124K
99233 Prolong inpt eval add15 m 2,713 1,537 $124K
71046 Radiologic examination, chest; 2 views 18,525 17,212 $121K
77063 Screening digital breast tomosynthesis, bilateral 9,357 8,990 $106K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,611 1,521 $104K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,364 2,161 $92K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,656 4,306 $89K
71045 Radiologic examination, chest; single view 19,294 14,993 $73K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,215 1,125 $71K
00811 2,027 1,914 $69K
52000 652 609 $66K
76642 3,178 2,952 $63K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 710 663 $62K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,850 5,280 $60K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,043 957 $59K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 658 624 $59K
70551 Magnetic resonance imaging, brain; without contrast material 782 701 $58K
71275 Computed tomographic angiography, chest, with contrast material 649 602 $56K
77066 Tomosynthesis, mammo 1,561 1,461 $56K
77065 Tomosynthesis, mammo 1,993 1,867 $55K
99239 Hospital discharge day management, more than 30 minutes 1,004 938 $54K
72125 Computed tomography, cervical spine; without contrast material 1,154 1,066 $52K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,709 4,412 $49K
88342 2,323 2,196 $48K
97597 2,329 1,489 $45K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 667 647 $44K
71271 1,871 1,623 $44K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 756 709 $42K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,918 386 $41K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 179 157 $40K
73221 478 437 $38K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 299 275 $37K
99222 Initial hospital care, per day, moderate complexity 790 510 $35K
00812 983 952 $35K
99205 Prolong outpt/office vis 398 374 $34K
90472 Immunization administration, each additional vaccine (list separately) 2,489 2,263 $30K
73130 4,080 3,721 $30K
74018 4,663 4,019 $29K
72100 3,328 3,146 $26K
00731 704 635 $25K
73630 3,699 3,415 $25K
73030 3,633 3,315 $23K
76830 Ultrasound, transvaginal 651 593 $22K
73562 2,908 2,660 $22K
77080 2,250 2,093 $22K
73610 3,105 2,833 $21K
43235 232 205 $21K
76770 897 830 $20K
94060 1,854 1,720 $19K
94729 1,927 1,811 $18K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 130 122 $18K
73110 2,315 2,087 $18K
99282 Emergency department visit for the evaluation and management, low to moderate severity 743 679 $17K
67028 Intravitreal injection of a pharmacologic agent 250 227 $17K
74178 229 220 $17K
94727 1,977 1,856 $15K
76536 724 688 $15K
77061 789 761 $14K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 564 367 $14K
93922 752 695 $13K
93880 374 330 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 164 161 $12K
73502 1,443 1,307 $12K
77062 658 623 $12K
72141 133 126 $11K
93227 827 770 $11K
93924 264 251 $10K
73560 1,581 1,458 $10K
99221 264 187 $9K
64721 55 51 $9K
73564 866 794 $9K
45380 Colonoscopy, flexible; with biopsy, single or multiple 43 40 $9K
93971 269 247 $8K
92002 240 223 $8K
72040 1,018 950 $7K
74019 1,038 959 $7K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 278 263 $7K
88112 301 270 $7K
11100 184 166 $7K
70486 143 129 $7K
92134 1,589 1,384 $7K
76700 Ultrasound, abdominal, real time with image documentation; complete 233 218 $6K
76942 167 146 $6K
99442 665 425 $6K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 106 99 $6K
99220 94 91 $6K
70355 1,098 1,027 $6K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 135 84 $6K
92083 607 557 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 189 180 $6K
87210 3,331 2,542 $5K
G0297 Low dose ct scan (ldct) for lung cancer screening 232 210 $5K
70491 68 64 $5K
88307 110 102 $5K
73080 547 509 $4K
93350 109 106 $4K
77077 348 332 $4K
88344 159 149 $4K
11102 99 81 $4K
94010 599 557 $3K
92133 752 691 $3K
99497 1,207 1,158 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 58 44 $3K
93295 198 183 $3K
99219 78 71 $3K
00813 69 66 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 52 38 $3K
73521 312 300 $3K
99225 145 93 $3K
00142 62 56 $2K
70496 32 26 $2K
64615 38 37 $2K
36415 Collection of venous blood by venipuncture 1,264 1,142 $2K
88304 133 128 $2K
17110 44 39 $2K
17000 83 74 $1K
73590 235 221 $1K
93356 78 73 $1K
59025 Fetal non-stress test 89 57 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $1K
99443 89 53 $1K
70498 14 12 $921.19
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 156 136 $841.80
20605 21 21 $797.28
81025 156 136 $788.76
93018 80 79 $704.34
99441 147 97 $702.11
99490 Ccm add 20min 267 257 $694.24
01810 13 13 $682.03
0011A 33 29 $667.64
90688 41 40 $642.24
72070 88 82 $626.80
93970 13 12 $591.09
93298 54 51 $554.17
93289 72 72 $531.30
88341 20 16 $519.68
0012A 26 25 $519.12
20550 15 14 $427.59
99201 18 18 $418.37
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 256 155 $353.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 682 675 $322.34
17003 24 24 $319.73
11900 13 12 $281.43
99051 58 47 $280.96
77001 19 13 $270.07
73090 40 40 $262.90
90686 1,598 1,450 $248.49
90474 30 29 $246.51
G0444 Annual depression screening, 5 to 15 minutes 769 738 $242.37
91200 30 29 $240.96
73140 30 28 $179.41
71100 35 30 $169.80
83036 Hemoglobin; glycosylated (A1C) 16 12 $115.92
73552 15 13 $109.18
93294 12 12 $105.72
93279 13 12 $104.37
76937 19 13 $102.63
92020 14 12 $97.02
92551 12 12 $82.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg 105 69 $64.12
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 14,068 9,489 $62.65
99173 24 24 $42.60
99024 16,732 13,396 $41.53
G0008 Administration of influenza virus vaccine 97 95 $40.75
92015 Determination of refractive state 27 27 $40.00
3052F 434 392 $20.00
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) 240 231 $15.50
3046F 1,233 1,113 $10.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 16 12 $0.54
3008F 113,304 101,646 $0.00
3074F 40,563 36,840 $0.00
3079F 11,280 10,420 $0.00
1126F 1,629 1,507 $0.00
1101F 3,370 3,146 $0.00
4010F 19,179 17,390 $0.00
3044F 11,849 10,911 $0.00
3066F 4,838 4,390 $0.00
3075F 7,672 7,095 $0.00
3060F 138 128 $0.00
2023F 1,430 1,322 $0.00
3080F 3,523 3,192 $0.00
1034F 1,681 1,305 $0.00
3072F 711 634 $0.00
90698 597 526 $0.00
3061F 1,274 1,174 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,130 735 $0.00
90651 33 30 $0.00
1125F 290 275 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 447 441 $0.00
91301 36 32 $0.00
90694 17 16 $0.00
90723 69 65 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 33 33 $0.00
90647 88 87 $0.00
90744 12 12 $0.00
1111F 15 12 $0.00
3078F 53,724 48,766 $0.00
3288F 1,852 1,637 $0.00
1160F 55,847 50,640 $0.00
3077F 15,998 14,446 $0.00
3051F 698 661 $0.00
1159F 66,712 60,429 $0.00
2022F 782 716 $0.00
90670 896 822 $0.00
3045F 197 184 $0.00
90685 311 290 $0.00
3725F 320 314 $0.00
90681 51 50 $0.00
T1015 Clinic visit/encounter, all-inclusive 273 168 $0.00
1100F 47 41 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 90 89 $0.00
98960 273 168 $0.00
90633 126 115 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 12 12 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 15 14 $0.00
1158F 37 35 $0.00
90734 13 12 $0.00