Physician
Allen's Family Practice Clinic of Ponchatoula, L.L.P.
Allen's Family Practice Clinic of Ponchatoula, L.L.P. was paid $224K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoALLEN'S FAMILY PRACTICE CLINIC OF PONCHATOULA, L.L.P.
PONCHATOULA, LA 70454
PONCHATOULA, LA 70454
33aNPI1992793095assigned 10/12/2005
33bProvider typeFamily Medicine Physician
28Total paid$224K
24GClaims17,477
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Louisiana
Rank by total paid#149 of 417
Median peer was paid$63K
This provider vs. median3.6×
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 | 3,774 | $44K | |
| 2019 | 3,363 | $44K | |
| 2020 | 2,384 | $35K | |
| 2021 | 2,143 | $30K | |
| 2022 | 2,450 | $30K | |
| 2023 | 1,945 | $25K | |
| 2024incomplete | 1,418 | $15K |
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 | 31% | 3,644 | 2,996 | $70K |
| 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% | 2,512 | 2,114 | $60K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 3,347 | 993 | $28K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 12% | 3,070 | 2,808 | $26K |
| 99307 | 12% | 3,249 | 2,856 | $26K | |
| 99223 | Prolong inpt eval add15 m | 1.8% | 177 | 150 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.5% | 309 | 281 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 150 | 133 | $2K |
| 90756 | <1% | 279 | 224 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 59 | 52 | $1K |
| 87428 | <1% | 26 | 17 | $340.34 | |
| 80305 | <1% | 54 | 39 | $281.56 |
8 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $176.40 |
| 81003 | <1% | 15 | $13.44 | |
| 96127 | <1% | 81 | $3.97 | |
| G0008 | Administration of influenza virus vaccine | 0% | 219 | $0.00 |
| 99318 | 0% | 135 | $0.00 | |
| 1111F | 0% | 55 | $0.00 | |
| 90662 | 0% | 16 | $0.00 | |
| 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) | 0% | 65 | $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 officialALLEN, CATHY (CLINIC MANAGER)