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

Ochsner Clinic LLC

Surgery·New Orleans, LA·NPI: 1538151428Share

Compared to Surgery Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $152.5M is at the 75th percentile among 8 Surgery providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$152.5M

$152,466,937

Total Claims

5.9M

Beneficiaries

5.0M

1.2 claims/patient

Avg Cost/Claim

$26

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

🔍 Analysis

Provider Overview

Ochsner Clinic LLC is a Surgery provider based in New Orleans, LA. From the 2018–2024 period, this provider received $152.5M in Medicaid payments across 5.9M claims.

Why This Matters

This provider received $152.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,058 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 2% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.8M
+15%
2019
$21.6M
-9%
2020
$19.8M
+21%
2021
$24.0M
+2%
2022
$24.5M
+0%
2023
$24.6M
-22%
2024
$19.2M

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 22% of total spending.

99214Normal range

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

$32.9M

617K claims · 21.6%

Your Cost: $53.34/claim|Median: $53.41
1.0× median
99213Normal range

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

$23.0M

577K claims · 15.1%

Your Cost: $39.84/claim|Median: $37.81
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$6.9M

151K claims · 4.5%

Your Cost: $45.56/claim|Median: $35.30
1.3× median
99284Normal range

Emergency dept visit, high complexity

$6.5M

87K claims · 4.3%

Your Cost: $74.65/claim|Median: $69.51
1.1× median
99204Normal range

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

$5.1M

61K claims · 3.4%

Your Cost: $84.54/claim|Median: $84.03
1.0× median
99203Normal range

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

$5.0M

93K claims · 3.3%

Your Cost: $53.54/claim|Median: $57.85
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$3.5M

56K claims · 2.3%

Your Cost: $61.90/claim|Median: $74.09
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$3.2M

53K claims · 2.1%

Your Cost: $60.43/claim|Median: $69.35
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$3.2M

83K claims · 2.1%

Your Cost: $38.00/claim|Median: $39.70
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.9M

84K claims · 1.9%

Your Cost: $33.95/claim|Median: $23.99
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2.7M

39K claims · 1.8%

Your Cost: $68.33/claim|Median: $75.18
0.9× median
70450Normal range

CT head/brain without contrast

$2.6M

63K claims · 1.7%

Your Cost: $40.83/claim|Median: $45.53
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$2.5M

52K claims · 1.6%

Your Cost: $47.41/claim|Median: $54.68
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.2M

25K claims · 1.4%

Your Cost: $87.34/claim|Median: $85.65
1.0× median
74177Normal range

CT abdomen and pelvis with contrast

$2.0M

37K claims · 1.3%

Your Cost: $54.84/claim|Median: $65.76
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.9M

390K claims · 1.2%

Your Cost: $4.80/claim|Median: $5.60
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.8M

56K claims · 1.2%

Your Cost: $33.00/claim|Median: $35.80
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$1.7M

23K claims · 1.1%

Your Cost: $75.07/claim|Median: $67.32
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$1.5M

25K claims · 1.0%

Your Cost: $57.82/claim|Median: $65.64
0.9× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$1.3M

16K claims · 0.9%

Your Cost: $84.13/claim|Median: $103.70
0.8× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$1.3M

7K claims · 0.9%

Your Cost: $192.62/claim|Median: $307.98
0.6× median
99291Normal range

Critical care, first 30-74 minutes

$1.2M

12K claims · 0.8%

Your Cost: $99.33/claim|Median: $101.24
1.0× median
71045Normal range

Chest X-ray, single view

$1.1M

278K claims · 0.7%

Your Cost: $4.05/claim|Median: $4.93
0.8× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$1.1M

39K claims · 0.7%

Your Cost: $27.99/claim|Median: $38.83
0.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$1.0M

35K claims · 0.7%

Your Cost: $29.21/claim|Median: $39.33
0.7× median
70553Normal range

MRI brain without contrast, then with contrast

$1.0M

7K claims · 0.7%

Your Cost: $149.64/claim|Median: $133.68
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$994K

15K claims · 0.7%

Your Cost: $68.05/claim|Median: $74.82
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$950K

15K claims · 0.6%

Your Cost: $61.41/claim|Median: $72.71
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$921K

37K claims · 0.6%

Your Cost: $25.18/claim|Median: $58.55
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$916K

37K claims · 0.6%

Your Cost: $24.51/claim|Median: $25.06
1.0× median

Other Top Providers in Louisiana

View all →

Acadian Ambulance Service Inc.

Ambulance Air Transport

$422.7M

Lsu Health Sciences Center Shreveport Faculty Group Practice

Oral & Maxillofacial Surgery

$235.7M

Physicians Group Laboratories, LLC

Clinical Medical Laboratory

$208.1M

Our Lady of the Lake Hospital Inc.

General Acute Care Hospital

$205.7M

Ochsner Clinic Foundation

General Acute Care Hospital

$167.0M

Similar Providers

Other top providers in Surgery

Presbyterian Healthcare Services

Albuquerque, NM

$240.2M

← All providersAll providers in Louisiana →How we detect fraud →