Physician
Internal Medicine Specialists, INC.
Internal Medicine Specialists, INC. was paid $455K by Medicaid between Jan 2018 and Apr 2020, across 23 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.
33Billing provider infoINTERNAL MEDICINE SPECIALISTS, INC.
NEW ORLEANS, LA 70115
NEW ORLEANS, LA 70115
33aNPI1992757983assigned 05/17/2006
33bProvider typeNephrology Physician
28Total paid$455K
24GClaims23,672
24DCodes billed23
24AFirst – last monthJan 2018 – Apr 2020
Compared with peers
Next to other Nephrology Physician providers in Louisiana
Rank by total paid#10 of 56
Median peer was paid$52K
This provider vs. median8.8×
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 | 11,533 | $213K | |
| 2019 | 10,054 | $178K | |
| 2020 | 2,085 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 35% | 10,506 | 2,211 | $157K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 19% | 1,916 | 403 | $88K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 2,761 | 694 | $65K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 13% | 2,185 | 1,965 | $61K |
| 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 | 7.2% | 986 | 886 | $33K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 1,250 | 1,090 | $16K |
| 99223 | Prolong inpt eval add15 m | 3.5% | 376 | 286 | $16K |
| 99335 | 1.4% | 635 | 543 | $6K | |
| 90961 | <1% | 79 | 64 | $3K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 417 | 381 | $3K |
| 94060 | <1% | 167 | 157 | $2K | |
| 94729 | <1% | 166 | 156 | $2K |
11 more codes
| 94726 | <1% | 167 | $2K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 162 | $1K |
| 99336 | <1% | 18 | $167.76 | |
| 94760 | <1% | 1,131 | $142.74 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 120 | $28.34 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 252 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 56 | $0.00 |
| 1159F | 0% | 15 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 211 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 81 | $0.00 |
| 1160F | 0% | 15 | $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 officialBERGERON, LAURIE (ADMINISTRATOR)