Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Our Lady of the Lake Physician Group LLC

Allergy & Immunology·Baton Rouge, LA·NPI: 1033494943Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$134.0M

$134,000,391

Total Claims

4.1M

Beneficiaries

3.5M

1.2 claims/patient

Avg Cost/Claim

$32

#848 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Our Lady of the Lake Physician Group LLC is a Allergy & Immunology provider based in Baton Rouge, LA. From the 2018–2024 period, this provider received $134.0M in Medicaid payments across 4.1M claims.

Why This Matters

This provider received $134.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,750 Medicaid beneficiaries for a full year at average per-enrollee costs.

48% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$14.2M
+22%
2019
$17.3M
-9%
2020
$15.7M
+26%
2021
$19.7M
+10%
2022
$21.6M
+13%
2023
$24.4M
-14%
2024
$21.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 26% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$35.3M

718K claims · 26.3%

Your Cost: $49.14/claim|Median: $53.41
0.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$19.6M

532K claims · 14.6%

Your Cost: $36.84/claim|Median: $37.81
1.0× median
99284Normal range

Emergency dept visit, high complexity

$7.7M

92K claims · 5.8%

Your Cost: $83.70/claim|Median: $69.51
1.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$5.3M

42K claims · 4.0%

Your Cost: $125.78/claim|Median: $85.65
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$5.2M

82K claims · 3.9%

Your Cost: $63.06/claim|Median: $75.18
0.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$4.9M

64K claims · 3.7%

Your Cost: $76.99/claim|Median: $84.03
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$4.8M

159K claims · 3.6%

Your Cost: $29.94/claim|Median: $23.99
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$4.6M

84K claims · 3.5%

Your Cost: $55.34/claim|Median: $69.35
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3.8M

84K claims · 2.9%

Your Cost: $45.83/claim|Median: $35.30
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$3.6M

57K claims · 2.7%

Your Cost: $63.80/claim|Median: $74.82
0.8× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$3.2M

256K claims · 2.4%

Your Cost: $12.35/claim|Median: $9.80
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$3.1M

47K claims · 2.3%

Your Cost: $66.19/claim|Median: $74.09
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$2.9M

129K claims · 2.2%

Your Cost: $22.87/claim|Median: $25.06
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$2.7M

36K claims · 2.0%

Your Cost: $76.09/claim|Median: $67.32
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2.5M

31K claims · 1.8%

Your Cost: $78.30/claim|Median: $108.91
0.7× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$2.3M

50K claims · 1.8%

Your Cost: $47.11/claim|Median: $57.85
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2.3M

33K claims · 1.7%

Your Cost: $69.88/claim|Median: $80.15
0.9× median
90472Normal range

Immunization administration, each additional vaccine

$1.9M

145K claims · 1.4%

Your Cost: $12.94/claim|Median: $11.79
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$1.7M

38K claims · 1.3%

Your Cost: $44.83/claim|Median: $42.48
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.4M

24K claims · 1.0%

Your Cost: $56.54/claim|Median: $54.68
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1.3M

29K claims · 0.9%

Your Cost: $44.02/claim|Median: $43.85
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$1.2M

13K claims · 0.9%

Your Cost: $94.19/claim|Median: $101.24
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1.1M

12K claims · 0.9%

Your Cost: $95.98/claim|Median: $111.09
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$636K

144K claims · 0.5%

Your Cost: $4.41/claim|Median: $5.60
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$575K

4K claims · 0.4%

Your Cost: $129.61/claim|Median: $151.68
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$449K

46K claims · 0.3%

Your Cost: $9.81/claim|Median: $11.48
0.8× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$351K

2K claims · 0.3%

Your Cost: $200.77/claim|Median: $144.04
1.4× median
99282Normal range

Emergency dept visit, low complexity

$338K

11K claims · 0.3%

Your Cost: $29.98/claim|Median: $37.72
0.8× median
87804Top 25%

Influenza virus detection, rapid test

$323K

16K claims · 0.2%

Your Cost: $19.65/claim|Median: $12.59
1.6× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$321K

16K claims · 0.2%

Your Cost: $20.23/claim|Median: $39.63
0.5× median