Physician
Koubicek, Carmen
Koubicek, Carmen was paid $254K by Medicaid between Jan 2018 and Jun 2021, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoKOUBICEK, CARMEN
OPELOUSAS, LA 70570
OPELOUSAS, LA 70570
33aNPI1992855282assigned 01/11/2007
33bProvider typePediatrics Physician
28Total paid$254K
24GClaims8,187
24DCodes billed27
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Pediatrics Physician providers in Louisiana
Rank by total paid#132 of 230
Median peer was paid$429K
This provider vs. median0.6×
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 | 3,194 | $105K | |
| 2019 | 2,661 | $81K | |
| 2020 | 1,706 | $50K | |
| 2021 | 626 | $18K |
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 | 47% | 2,535 | 2,041 | $120K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 792 | 691 | $46K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.1% | 1,343 | 1,207 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 228 | 218 | $15K |
| 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 | 4.6% | 162 | 156 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 873 | 799 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 159 | 148 | $10K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.7% | 137 | 130 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 75 | 74 | $6K |
| 99460 | 2.1% | 119 | 115 | $5K | |
| 99462 | <1% | 62 | 44 | $1K | |
| 99050 | <1% | 82 | 76 | $1K |
15 more codes
| 96127 | <1% | 139 | $580.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $382.31 |
| 90474 | <1% | 27 | $246.51 | |
| 99051 | <1% | 12 | $195.42 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 94 | $29.64 |
| 94760 | <1% | 556 | $15.33 | |
| 90670 | 0% | 422 | $0.00 | |
| 90756 | 0% | 56 | $0.00 | |
| 90633 | 0% | 25 | $0.00 | |
| 90734 | 0% | 17 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 90686 | 0% | 89 | $0.00 | |
| 90647 | 0% | 115 | $0.00 | |
| 90680 | 0% | 27 | $0.00 | |
| 99000 | 0% | 13 | $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.