Cardiovascular Institute of the South, LLC

Cardiovascular Institute of the South, LLC was paid $32.68M by Medicaid between Jan 2018 and Dec 2024, across 108 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoCARDIOVASCULAR INSTITUTE OF THE SOUTH, LLC
HOUMA, LA 70360

33aNPI1982689113assigned 12/09/2005

33bProvider typeFamily Medicine Physician

28Total paid$32.68M

24GClaims1,216,130

24DCodes billed108

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Louisiana

Rank by total paid#1 of 417

Median peer was paid$63K

This provider vs. median519×

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	156,284	$4.11M
2019	160,865	$4.31M
2020	158,340	$4.29M
2021	188,395	$5.27M
2022	192,393	$5.49M
2023	195,780	$5.31M
2024incomplete	164,073	$3.89M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	27%	299,698	267,155	$8.96M
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	24%	93,517	86,014	$7.96M
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	5.8%	13,480	12,175	$1.89M
J2785	Injection, regadenoson, 0.1 mg	5.6%	16,653	15,021	$1.82M
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	4.7%	12,522	11,293	$1.53M
93000		4.4%	194,114	176,459	$1.45M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.4%	70,477	64,418	$1.42M
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	3.8%	18,826	17,006	$1.23M
93880		1.8%	9,320	8,465	$587K
93970		1.8%	6,190	5,734	$574K
93015		1.7%	13,831	12,375	$567K
93925		1.6%	6,108	5,505	$519K

96 more codes

99233	Hospital visit by a doctor, follow-up day (complex)	1.3%	15,029	$431K
80061	Lipid panel	1.3%	57,983	$414K
80053	Comprehensive metabolic panel	<1%	41,507	$265K
99223	Prolong inpt eval add15 m	<1%	5,893	$245K
93017		<1%	10,607	$229K
93295		<1%	9,902	$209K
95800		<1%	340	$154K
93298		<1%	14,583	$151K
93922		<1%	3,597	$144K
93224		<1%	2,618	$139K
84443	Thyroid stimulating hormone (TSH)	<1%	13,076	$129K
36475		<1%	201	$126K
99203	Doctor's office visit, new patient (routine)	<1%	2,754	$120K
93016		<1%	11,017	$108K
93018		<1%	13,534	$97K
93458		<1%	764	$89K
80048	Basic metabolic panel (calcium, ionized)	<1%	18,211	$81K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	24,046	$81K
93971		<1%	1,266	$79K
36465		<1%	249	$77K
93294		<1%	10,306	$74K
85027		<1%	18,883	$72K
93296		<1%	18,997	$66K
99232	Hospital visit by a doctor, follow-up day	<1%	4,790	$65K
93793		<1%	10,973	$40K
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)	<1%	23,984	$38K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results	<1%	11,209	$34K
83036	Hemoglobin; glycosylated (A1C)	<1%	5,920	$31K
36415	Collection of venous blood by venipuncture	<1%	21,524	$29K
84460		<1%	11,351	$28K
84075		<1%	11,361	$24K
37252		<1%	215	$24K
84450		<1%	11,427	$23K
93268		<1%	173	$22K
83880		<1%	767	$17K
75574		<1%	77	$16K
99222	Initial hospital care, per day, moderate complexity	<1%	839	$15K
93280		<1%	1,370	$15K
84436		<1%	4,728	$15K
99215	Doctor's office visit, returning patient (complex)	<1%	381	$14K
93351		<1%	93	$13K
84479		<1%	4,173	$13K
76706		<1%	207	$11K
99490	Ccm add 20min	<1%	6,474	$11K
93356		<1%	497	$8K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	442	$8K
84439		<1%	1,417	$7K
74174		<1%	28	$6K
37225		<1%	13	$6K
86141		<1%	558	$6K
99457		<1%	719	$5K
93299		<1%	2,121	$5K
37253		<1%	68	$4K
99220		<1%	69	$4K
36005		<1%	104	$4K
99454		<1%	624	$4K
99426		<1%	2,296	$4K
93923		<1%	38	$3K
75710		<1%	73	$3K
83735		<1%	733	$3K
93272		<1%	180	$3K
G2065	Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities	<1%	968	$2K
75635		<1%	19	$2K
G0250	Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests	<1%	2,131	$2K
99152		<1%	1,918	$2K
G0422	Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session	<1%	5,365	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	57	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	740	$2K
93454		<1%	12	$2K
99442		<1%	348	$1K
93282		<1%	52	$953.60
82172		<1%	4,337	$953.38
75625		<1%	17	$904.27
93284		<1%	43	$877.89
75571		<1%	108	$842.80
G0423	Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session	<1%	2,960	$835.17
75822		<1%	59	$540.33
80050	General health panel	<1%	15	$493.50
99284	Emergency room visit (serious)	<1%	26	$384.60
78492		<1%	1,725	$377.19
99441		<1%	214	$362.22
82550		<1%	78	$347.30
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	622	$335.31
85610		<1%	215	$304.25
93228		<1%	52	$284.75
76937		<1%	65	$226.97
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	$198.60
93297		<1%	125	$113.76
99443		<1%	19	$101.85
99458		<1%	15	$80.50
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	17	$77.43
78434		<1%	418	$72.50
99453		<1%	33	$26.90
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	0%	1,196	$0.00
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	0%	13	$0.00
78431		0%	19	$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 officialZAUNBRECHER, NICKOLAS (CHIEF FINANCIAL OFFICER)