KRISTINA G. LANDRY, N.P.
NPI 1639185671, individual, Ville Platte, LA, Nurse Practitioner, Psych/Mental Health
- Billed more hands-on hours than a day holds in 5 months, peaking at 4.1 hour per day across 4 billing organizations.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 31.6 | 1.8 | 1.2 | 1.7 | 187 | 3 | 90833 99205 99214 99233 | $4K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 30.6 | 2.5 | 1.7 | 2.3 | 220 | 2 | 90833 99205 99214 99215 | $6K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 32.2 | 1.7 | 1.1 | 1.5 | 146 | 2 | 90833 99214 99215 | $4K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 28.0 | 1.8 | 1.2 | 1.8 | 150 | 3 | 90833 99214 99215 | $5K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 26.5 | 3.0 | 2.0 | 2.7 | 151 | 4 | 90833 99214 99215 99233 | $6K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KRISTINA G. LANDRY, N.P. |
| Type | Individual |
| Status | Active |
| NPI issued | July 31, 2006, last updated September 1, 2021 |
| Practice location | 1257 MAYEAUXVILLE RD, Ville Platte, LA 70586-8409, 337-506-2294 |
| Mailing address | 1008 W MAIN ST, Ville Platte, LA 70586-4208 |
| Specialties | Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license AP04414 LA) Nurse Practitioner, Family (363LF0000X, license AP04414 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.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H2020 | Therapeutic behavioral services per diem | $1.1M | 85% | $167 | $455 (top 5% from $2K) | 12th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $66K | 5% | $24 | $60 (top 5% from $133) | 12th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $58K | 4% | $22 | $49 (top 5% from $109) | 17th percentile | |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $30K | 2% | $38 | $67 (top 5% from $174) | 17th percentile | |
| T1015 | Medicaid service code | $16K | 1% | $81 | $182 (top 5% from $488) | too few months to rank | |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $16K | 1% | $37 | $96 (top 5% from $249) | 5th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $6K | 0% | $77 | $88 (top 5% from $210) | too few months to rank | |
| 90791 | Psychiatric diagnostic evaluation | $4K | 0% | $53 | $105 (top 5% from $228) | too few months to rank |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 319 | 55 | $16K | $150 | $63 | 2.4x | 2.6x (90th percentile 4.3x) |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 199 | 53 | $15K | $150 | $95 | 1.6x | 2.6x (90th percentile 4.7x) |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 190 | 58 | $7K | $50 | $49 | 1.0x | 2.1x (90th percentile 3.5x) |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 44 | 39 | $5K | $180 | $138 | 1.3x | 3.0x (90th percentile 5.6x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 43 | 39 | $2K | $80 | $64 | 1.2x | 2.6x (90th percentile 4.7x) |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 21 | 12 | $663 | $130 | $40 | 3.3x | 2.4x (90th percentile 4.0x) |
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
169 providers in LA carry an indicator in the public record, with $80.3M at stake between them. The most common is part of a provider network, on 81 of them, followed by more hours than a day holds on 62. 20 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ACADIAN DIAGNOSTIC LABORATORIES LLC Baton Rouge, LA, ranked 28 | $9K |
|
| 1 | SHANONE CHATMAN-ASHLEY Lake Charles, LA, ranked 66 | $884K |
|
| 1 | STAT CARE CLINICS Baton Rouge, LA, ranked 97 | $324K |
|
| 1 | ROBERT HARVEY Alexandria, LA, ranked 105 | $251K |
|
| 1 | ADAPTHEALTH PATIENT CARE SOLUTIONS LLC Metairie, LA, ranked 236 | $23K |
|
| 1 | MARGARET DANIELS Shreveport, LA, ranked 342 | $3K |
|
| 1 | NORTH LOUISIANA INTERNAL MEDICINE Shreveport, LA, ranked 414 | $494 |
|
| 1 | CHARLES WERNER Shreeport, LA, ranked 415 | $494 |
|
Recent enforcement in LA
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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.