Medicaid Provider Spending

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

SOUTHWEST LOUISIANA PHYSICIANS, LLC

NPI: 1972384139 · LAKE CHARLES, LA 70605 · Hospitalist Physician · NPI assigned 10/12/2023

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FALK, LISHA controls 20+ related entities in our dataset. Read more

$96K
Total Medicaid Paid
4,995
Total Claims
3,540
Beneficiaries
9
Codes Billed
2024-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFALK, LISHA (VP OF CONTRACTING)
NPI Enumeration Date10/12/2023

Related Entities

Other providers sharing the same authorized official: FALK, LISHA

ProviderCityStateTotal Paid
BELLE CHASSE EMERGENCY GROUP LLC NEW ORLEANS LA $20.02M
SOUTHERN MEDICAL PARTNERS, LLC HAZARD KY $15.59M
FOUCHER EMERGENCY GROUP LLC NEW ORLEANS LA $15.03M
KENNER EMERGENCY GROUP LLC KENNER LA $12.10M
INDEPENDENCE EMERGENCY GROUP LLC METAIRIE LA $11.45M
CONGRESS EMERGENCY GROUP LLC LAFAYETTE LA $11.41M
COOLIDGE EMERGENCY GROUP LLC LAFAYETTE LA $11.05M
RED STICK EMERGENCY GROUP LLC BATON ROUGE LA $10.27M
MAIN STREET EMERGENCY GROUP LLC NEW IBERIA LA $9.31M
UNITED EMERGENCY SERVICES OF MISSISSIPPI COLUMBUS MS $7.79M
CALCASIEU EMERGENCY GROUP LLC LAKE CHARLES LA $7.42M
ED PHYSICIANS OF WEST LOUISIANA, LLC WEST MONROE LA $7.33M
ST MARY EMERGENCY GROUP LLC MORGAN CITY LA $6.46M
BECKLEY EMERGENCY PHYSICIANS LLC BECKLEY WV $6.13M
UNITED EMERGENCY SERVICES, INC. BOONEVILLE MS $5.78M
WILLIAMSON EMERGENCY PHYSICIANS LLC SOUTH WILLIAMSON KY $5.21M
AMBASSADOR EMERGENCY GROUP LLC LAFAYETTE LA $4.98M
ST. JOHN EMERGENCY GROUP LLC LA PLACE LA $4.97M
DUVAL EMERGENCY GROUP LLC NORTH MIAMI BEACH FL $4.92M
WEBSTER EMERGENCY GROUP LLC MINDEN LA $4.72M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 4,995 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 1,256 460 $39K
99223 Prolong inpt eval add15 m 443 392 $29K
99239 Hospital discharge day management, more than 30 minutes 507 456 $16K
99232 Subsequent hospital care, per day, moderate complexity 482 226 $13K
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 1,189 1,020 $0.00
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 336 300 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 16 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 682 599 $0.00
M1237 Patient reason for not screening for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety (e.g., patient declined or other patient reasons) 84 72 $0.00