Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Hospital Service District 1 of East Baton Rouge Parish

Hospital Service District 1 of East Baton Rouge Parish was paid $442K by Medicaid between Jul 2019 and Dec 2024, across 15 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 24% of everything it billed.

33Billing provider infoHOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
ZACHARY, LA 70791
33aNPI1952878506assigned 10/31/2018
28Total paid$442K
24GClaims6,507
24DCodes billed15
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in Louisiana

Rank by total paid#11 of 33
Median peer was paid$83K
This provider vs. median5.3×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
201999$6K
2020231$19K
20211,050$79K
20221,788$103K
20232,089$150K
2024incomplete1,250$86K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 24% 1,699 1,456 $106K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 22% 902 736 $99K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 21% 453 348 $91K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 1,315 1,197 $51K
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 7.3% 891 728 $32K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 5.7% 174 136 $25K
45380 Colonoscopy, flexible; with biopsy, single or multiple 4.9% 185 133 $21K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.2% 520 480 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 55 52 $2K
99442 <1% 27 18 $55.59
1126F 0% 62 42 $0.00
3080F 0% 61 26 $0.00
3 more codes
3075F 0% 26 $0.00
1159F 0% 56 $0.00
1160F 0% 81 $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 officialCLARDY, VICKI (CREDENTIALING SPECIALIST)
Parent organizationHOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH