Physician
Hebert Medical Group, Apmc
Hebert Medical Group, Apmc was paid $3.00M by Medicaid between Jan 2018 and Nov 2021, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoHEBERT MEDICAL GROUP, APMC
EUNICE, LA 70535
EUNICE, LA 70535
33aNPI1952305427assigned 06/11/2005
33bProvider typeObstetrics & Gynecology Physician
28Total paid$3.00M
24GClaims68,335
24DCodes billed77
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Louisiana
Rank by total paid#10 of 126
Median peer was paid$155K
This provider vs. median19×
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 | 23,799 | $1.06M | |
| 2019 | 21,380 | $915K | |
| 2020 | 13,086 | $556K | |
| 2021 | 10,070 | $474K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 16,984 | 14,846 | $617K |
| 30140 | 15% | 1,531 | 1,257 | $463K | |
| 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 | 14% | 7,842 | 7,079 | $408K |
| 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 | 9.7% | 3,903 | 3,588 | $291K |
| 31231 | 6.5% | 2,187 | 1,885 | $196K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 5.6% | 1,157 | 957 | $167K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 4.9% | 1,098 | 1,034 | $148K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 3.2% | 803 | 741 | $97K |
| 95024 | 2.3% | 1,182 | 1,107 | $69K | |
| 70486 | 2.0% | 490 | 455 | $59K | |
| 69210 | 1.6% | 2,430 | 1,808 | $49K | |
| 95117 | 1.6% | 6,380 | 3,771 | $47K |
65 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 661 | $41K |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 676 | $33K |
| 76377 | 1.1% | 484 | $33K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 630 | $32K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 436 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,777 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 871 | $22K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 264 | $20K |
| 92557 | <1% | 732 | $16K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 233 | $15K |
| 92587 | <1% | 482 | $13K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 884 | $12K |
| 31575 | <1% | 241 | $12K | |
| 92567 | <1% | 1,303 | $12K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 164 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 220 | $10K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 80 | $8K |
| 76801 | <1% | 91 | $6K | |
| 92551 | <1% | 898 | $6K | |
| 31237 | <1% | 42 | $5K | |
| 42830 | <1% | 57 | $5K | |
| 95115 | <1% | 621 | $4K | |
| 99051 | <1% | 342 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 295 | $3K |
| 42821 | <1% | 28 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 197 | $2K |
| 99188 | <1% | 102 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 17 | $2K |
| 99173 | <1% | 947 | $1K | |
| 81025 | <1% | 258 | $1K | |
| 99381 | <1% | 29 | $1K | |
| 85018 | <1% | 695 | $1K | |
| 59430 | <1% | 15 | $1K | |
| 81002 | <1% | 519 | $1K | |
| 90474 | <1% | 98 | $806.56 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 22 | $649.88 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $504.35 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $157.56 |
| 92555 | <1% | 12 | $130.10 | |
| 36416 | <1% | 845 | $89.16 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 222 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 473 | $0.00 |
| 90680 | 0% | 215 | $0.00 | |
| 1101F | 0% | 13 | $0.00 | |
| 90723 | 0% | 42 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 2,193 | $0.00 |
| 90686 | 0% | 370 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 132 | $0.00 |
| 1036F | 0% | 49 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 14 | $0.00 |
| 90651 | 0% | 15 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 90670 | 0% | 442 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 172 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 209 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 191 | $0.00 |
| 90648 | 0% | 218 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 539 | $0.00 |
| 90700 | 0% | 12 | $0.00 | |
| 90633 | 0% | 189 | $0.00 | |
| 90685 | 0% | 196 | $0.00 | |
| 90710 | 0% | 41 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 47 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 14 | $0.00 |
| 4040F | 0% | 28 | $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 officialHEBERT, CHARICE (OWNER)