Providers
AJSA ANA SOFIJA NIKOLIC, MD
NPI 1265487789, individual, New Orleans, LA, Family Medicine
5
Evidence tier
informational
score 31 of 100, rank 11000, $1.1M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | AJSA ANA SOFIJA NIKOLIC, MD |
| Type | Individual |
| Status | Active |
| NPI issued | May 23, 2006, last updated April 26, 2023 |
| Practice location | 900 MAGAZINE ST, New Orleans, LA 70130, 504-388-5900 |
| Specialties | Family Medicine (207Q00000X, license 26220 MS) Family Medicine (207Q00000X, license Md2018-0193 NM) Family Medicine (207Q00000X, license me90266 FL) Family Medicine (207Q00000X, license 69498-20 WI) Family Medicine (207Q00000X, license 036.139516 IL) Family Medicine (207Q00000X, license 28930 NE) Family Medicine (207Q00000X, primary, license 025945 LA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $949K | 55% | $66 | $60 (top 5% from $133) | 56th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $313K | 18% | $63 | $67 (top 5% from $121) | 44th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $143K | 8% | $44 | $44 (top 5% from $110) | 50th percentile | |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | $104K | 6% | $26 | $22 (top 5% from $33) | 69th percentile | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $43K | 2% | $50 | $44 (top 5% from $70) | 68th percentile | |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | $36K | 2% | $35 | $30 (top 5% from $48) | 78th percentile | |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $36K | 2% | $13 | $12 (top 5% from $18) | 57th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $25K | 1% | $86 | $95 (top 5% from $171) | 39th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 24 | 22 | $1K | $301 | $82 | 3.7x | 2.2x (90th percentile 3.8x) |
| 96372 | Injection of drug or substance under skin or into muscle | 130 | 116 | $1K | $93 | $13 | 6.9x | 3.6x (90th percentile 6.4x) |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 12 | 12 | $1K | $111 | $94 | 1.2x | 2.1x (90th percentile 3.7x) |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 13 | 13 | $527 | $150 | $41 | 3.7x | 2.1x (90th percentile 4.3x) |
| 90715 | Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) | 17 | 17 | $484 | $99 | $38 | 2.6x | 2.0x (90th percentile 3.2x) |
| 90471 | Administration of vaccine | 26 | 26 | $392 | $68 | $19 | 3.6x | 2.3x (90th percentile 3.8x) |
| 94640 | Inhalation treatment for airway obstruction or sputum production | 47 | 40 | $244 | $230 | $7 | 31.6x | 6.2x (90th percentile 11.7x) |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 102 | 51 | $46 | $2 | $1 | 2.9x | 13.4x (90th percentile 45.2x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
4 providers in Orleans Parish County, LA carry an indicator in the public record, with $6.4M at stake between them. The most common is named in an enforcement record, on 2 of them, followed by more hours than a day holds on 2. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SHIVA AKULA New Orleans, LA, ranked 643 | $0 |
|
| 3 | ELAINE HANDCOCK New Orleans, LA, ranked 1338 | $123K |
|
| 4 | STEPHEN JONES New Orleans, LA, ranked 8367 | $6.1M |
|
| 4 | EMILY LEONHARD New Orleans, LA, ranked 9565 | $104K |
|
Recent enforcement in LA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJOtherJul 30, 2026
Louisiana U.S. Attorneys Highlight Nine Recent Fraud Prosecutions Across the State
A nurse practitioner was sentenced for a health care fraud scheme involving over $12 million in fraudulent Medicare claims for medically unnecessary cancer genetic tests and receipt of kickbacks, and a New Orleans physician was charged with health care fraud for allegedly submitting $5.9 million in fraudulent claims to Medicare, Medicaid, and Humana for care not provided, in-person care for patients outside the state, and claims using other providers' identities.
DOJChargedJun 23, 2026
National Health Care Fraud Takedown Results in 455 Defendants Charged in Fraud Scheme Totaling Over $6.5 Billion
Defendants were charged in connection with schemes to submit claims for medically unnecessary respiratory pathogen panel testing, claims for care a physician did not provide, and false Medicaid claims for personal care services not rendered.
DOJSentencedJun 17, 2026
Nurse Practitioner Sentenced to 87 Months in Prison for $12M Medicare Fraud
A nurse practitioner received kickbacks for signing hundreds of orders for medically unnecessary cancer genetic tests after brief phone calls with patients without examining them, causing over $12.1 million in false and fraudulent claims to Medicare.
DOJSentencedApr 10, 2026
Slidell Doctor Sentenced For $6.6 Million In Health Care Fraud
Tassin, working through purported telemedicine companies, signed doctors' orders for cancer genetic tests for Medicare beneficiaries he never saw, spoke to, or treated, falsely certifying medical necessity in exchange for a set fee of typically $30 per order.
DOJSentencedJan 28, 2026
Slidell Chiropractor Sentenced For Health Care Fraud
Peyroux conspired with others to purchase Medicare beneficiary information and fabricated recordings and billed Medicare through his chiropractic clinic for over-the-counter COVID-19 test kits that were not requested or were otherwise ineligible for reimbursement, falsely listing a former nurse practitioner as the referring provider.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.