ROBERT FRANKLIN CROWE, M.D., M.S.
NPI 1790774958, individual, Leesville, LA, Pediatrics
- Hours beyond a day in 14 months, but with up to 1940 patients a month across 6 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds, even counting one unit per claim line | 39.1 | 37.2 | 24.8 | 33.4 | 1812 | 5 | 92507 99203 99204 99211 99212 99213 99214 99215 | $115K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 39.4 | 38.4 | 25.6 | 35.9 | 1741 | 5 | 92507 99203 99204 99211 99212 99213 99214 99215 | $109K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 31.3 | 31.7 | 21.1 | 29.8 | 1564 | 5 | 92507 99203 99204 99211 99212 99213 99214 99215 | $98K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 27.3 | 27.7 | 18.5 | 26.4 | 1324 | 5 | 92507 99203 99211 99212 99213 99214 99215 | $82K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 24.1 | 25.4 | 17.0 | 22.8 | 1267 | 4 | 92507 99203 99204 99211 99212 99213 99214 99215 | $78K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 26.9 | 20.0 | 13.4 | 18.0 | 1081 | 5 | 92507 99203 99204 99211 99212 99213 99214 99215 | $62K |
| Sep 2018 | More hours than a day holds, even counting one unit per claim line | 25.6 | 21.6 | 14.4 | 21.6 | 1083 | 3 | 99203 99204 99211 99212 99213 99214 99215 | $64K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 33.6 | 28.4 | 19.0 | 25.6 | 1625 | 5 | 99203 99204 99211 99212 99213 99214 99215 | $88K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 32.3 | 32.3 | 21.5 | 29.4 | 1739 | 5 | 99201 99203 99204 99211 99212 99213 99214 99215 | $97K |
| Dec 2018 | More hours than a day holds, even counting one unit per claim line | 30.1 | 33.4 | 22.2 | 32.8 | 1622 | 4 | 99203 99204 99211 99212 99213 99214 99215 | $102K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 33.6 | 35.7 | 23.8 | 32.1 | 1789 | 6 | 92507 99203 99204 99211 99212 99213 99214 99215 | $114K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 33.3 | 36.2 | 24.1 | 33.8 | 1691 | 6 | 92507 99203 99204 99211 99212 99213 99214 99215 | $105K |
| Mar 2019 | More hours than a day holds, even counting one unit per claim line | 33.9 | 37.7 | 25.1 | 37.1 | 1940 | 6 | 92507 99203 99204 99211 99212 99213 99214 | $121K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 27.0 | 29.4 | 19.6 | 26.7 | 1610 | 5 | 99203 99204 99211 99212 99213 99214 | $92K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ROBERT FRANKLIN CROWE, M.D., M.S. |
| Type | Individual |
| Status | Active |
| NPI issued | October 19, 2005, last updated March 14, 2011 |
| Practice location | 802 S 10TH ST, SUITE C, Leesville, LA 71446-4659, 337-239-2207 |
| Specialties | Pediatrics (208000000X, primary, license 200653 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 | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $2.1M | 41% | $103 | $182 (top 5% from $488) | 23rd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $1.1M | 21% | $53 | $60 (top 5% from $133) | 41st percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $342K | 7% | $20 | $44 (top 5% from $110) | 17th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $218K | 4% | $54 | $67 (top 5% from $121) | 29th percentile | |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | $177K | 4% | $78 | $71 (top 5% from $112) | 60th percentile | |
| 99392 | Medicaid service code | $148K | 3% | $59 | $78 (top 5% from $124) | 29th percentile | |
| 95165 | Professional service for preparation and provision of 1 or more antigens | $126K | 2% | $671 | $187 (top 5% from $1K) | 91st percentile | |
| 99051 | Medicaid service code | $113K | 2% | $13 | $6.71 (top 5% from $30) | 71st percentile |
In this area
4 providers in Vernon Parish County, LA carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 4 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HOSPICE OF NATCHITOCHES, INC. Leesville, LA, ranked 2893 | $0 |
|
| 3 | ROSEPINE RETIREMENT & REHABILITATION CENTER, LLC Rosepine, LA, ranked 4048 | $0 |
|
| 3 | ALLEGIANCE HOSPICE CARE OF WEST CENTRAL LOUISIANA LLC Leesville, LA, ranked 5478 | $0 |
|
| 3 | VERNON INVESTMENT GROUP, LLC Leesville, LA, ranked 6403 | $0 |
|
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.