Lsu Health Sciences Center Shreveport Faculty Group Practice
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 15 procedure codes: 01967 at 2.7× median, 99222 at 1.9× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Total Paid
$235.7M
$235,663,391
Total Claims
6.0M
Beneficiaries
4.9M
1.2 claims/patient
Avg Cost/Claim
$39
#357 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Lsu Health Sciences Center Shreveport Faculty Group Practice is a Oral & Maxillofacial Surgery provider based in Shreveport, LA. From the 2018–2024 period, this provider received $235.7M in Medicaid payments across 6.0M claims.
Why This Matters
This provider received $235.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 29,457 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
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 18% of total spending.
$41.6M
483K claims
$86.04
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$41.6M
483K claims · 17.6%
$34.8M
559K claims
$62.28
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$34.8M
559K claims · 14.8%
$13.8M
130K claims
$105.96
$69.51
Emergency dept visit, high complexity
$13.8M
130K claims · 5.8%
$10.2M
212K claims
$48.00
$23.99
Subsequent hospital care, per day, moderate complexity
$10.2M
212K claims · 4.3%
$9.0M
72K claims
$124.61
$84.03
Office/outpatient visit, new patient, mod-high complexity
$9.0M
72K claims · 3.8%
$8.2M
117K claims
$69.94
$35.30
Subsequent hospital care, per day, high complexity
$8.2M
117K claims · 3.5%
$7.2M
57K claims
$125.53
$85.65
Emergency dept visit, high/urgent complexity
$7.2M
57K claims · 3.0%
$5.5M
42K claims
$131.24
$67.32
Initial hospital care, per day, high complexity
$5.5M
42K claims · 2.4%
$4.6M
37K claims
$124.52
$74.09
Office/outpatient visit, high complexity
$4.6M
37K claims · 1.9%
$4.4M
33K claims
$134.56
$108.91
Psychiatric diagnostic evaluation with medical services
$4.4M
33K claims · 1.9%
$4.1M
55K claims
$74.86
$57.85
Office/outpatient visit, new patient, low-mod complexity
$4.1M
55K claims · 1.7%
Critical care, first 30-74 minutes
$4.0M
25K claims · 1.7%
$3.8M
5K claims
$779.10
$283.78
Anesthesia, neuraxial labor analgesia/delivery
$3.8M
5K claims · 1.6%
Vaginal delivery only
$3.5M
4K claims · 1.5%
$2.5M
47K claims
$52.59
$35.80
Surgical pathology, gross and microscopic examination
$2.5M
47K claims · 1.1%
$2.4M
41K claims
$58.62
$37.22
Hospital discharge day management, 30 minutes or less
$2.4M
41K claims · 1.0%
$2.3M
28K claims
$82.11
$43.85
Hospital discharge day management, more than 30 minutes
$2.3M
28K claims · 1.0%
$2.3M
36K claims
$62.96
$69.35
Preventive medicine, established patient, infant (under 1)
$2.3M
36K claims · 1.0%
$2.1M
6K claims
$355.81
$293.45
Subsequent intensive care, very low birth weight infant
$2.1M
6K claims · 0.9%
Upper GI endoscopy with biopsy
$2.0M
9K claims · 0.9%
$1.9M
33K claims
$58.72
$54.68
Echocardiography, transthoracic, complete, with Doppler
$1.9M
33K claims · 0.8%
$1.9M
35K claims
$53.08
$42.48
Emergency dept visit, moderate complexity
$1.9M
35K claims · 0.8%
$1.9M
17K claims
$112.83
$103.70
Subsequent intensive care, 2,501-5,000 grams
$1.9M
17K claims · 0.8%
$1.8M
51K claims
$36.08
$49.45
Fetal biophysical profile with non-stress test
$1.8M
51K claims · 0.8%
$1.6M
23K claims
$70.59
$75.18
Preventive medicine, established patient, age 1-4
$1.6M
23K claims · 0.7%
$1.5M
24K claims
$62.30
$47.08
Ophthalmological exam, comprehensive, established patient
$1.5M
24K claims · 0.6%
$1.4M
56K claims
$25.16
$16.77
Subsequent hospital care, per day, low complexity
$1.4M
56K claims · 0.6%
$1.4M
4K claims
$362.48
$255.17
Colonoscopy with polyp removal, snare technique
$1.4M
4K claims · 0.6%
$1.3M
201K claims
$6.71
$5.60
Electrocardiogram, interpretation and report only
$1.3M
201K claims · 0.6%
$1.3M
31K claims
$43.27
$25.06
Office/outpatient visit, low complexity
$1.3M
31K claims · 0.6%