Providers
GEORGE THOMAS WATERFALLEN, MD
NPI 1831123132, individual, Bastrop, LA, General Practice
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 8 months, but with up to 1698 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8841, $1.5M at stake
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 |
|---|---|---|---|---|---|---|---|---|---|
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 29.2 | 19.5 | 13.0 | 16.9 | 1655 | 1 | 96132 96138 97112 99203 99204 99211 99213 99214 99401 99402 99406 99407 | $62K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 26.4 | 16.7 | 11.1 | 14.8 | 1474 | 1 | 96132 96138 97112 99203 99204 99211 99213 99214 99401 99406 99407 | $54K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 25.4 | 18.4 | 12.3 | 16.6 | 1561 | 2 | 96132 96138 97110 99203 99204 99211 99212 99213 99214 99401 99406 99407 | $62K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 26.0 | 16.3 | 10.8 | 15.8 | 1590 | 2 | 96132 96138 97110 99203 99204 99211 99212 99213 99214 99401 99406 99407 | $57K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 31.3 | 16.5 | 11.0 | 14.9 | 1574 | 2 | 96132 96138 97110 97112 99203 99204 99211 99212 99213 99214 99401 99406 99407 | $55K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 29.1 | 19.3 | 12.9 | 17.0 | 1644 | 2 | 96132 96138 97110 99203 99204 99211 99212 99213 99214 99401 99406 99407 | $65K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 27.3 | 19.5 | 13.0 | 19.2 | 1698 | 2 | 96132 96138 97110 99203 99204 99211 99212 99213 99214 99401 99406 99407 | $69K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 27.7 | 17.0 | 11.3 | 15.5 | 1490 | 2 | 97110 99204 99211 99212 99213 99214 99401 99406 99407 | $58K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GEORGE THOMAS WATERFALLEN, MD |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 10, 2006, last updated January 14, 2025 |
| Practice location | 323 WEST WALNUT, Bastrop, LA 71220, 800-893-9698 |
| Mailing address | 200 CORPORATE BLVD, STE 201, Lafayette, LA 70508-3870 |
| Specialties | General Practice (208D00000X, primary, license MD.014605 LA) Emergency Medicine (207P00000X, license 014605 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 | |
|---|---|---|---|---|---|---|---|
| 0202U | Test for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 2 | $1.9M | 14% | $385 | $155 (top 5% from $401) | 92nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.1M | 8% | $37 | $44 (top 5% from $110) | 39th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $831K | 6% | $54 | $60 (top 5% from $133) | 41st percentile | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $597K | 4% | $67 | $58 (top 5% from $129) | 60th percentile | |
| 87633 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 12-25 targets | $548K | 4% | $339 | $198 (top 5% from $548) | 76th percentile | |
| 80050 | Medicaid service code | $395K | 3% | $30 | $34 (top 5% from $146) | 43rd percentile | |
| 82306 | Vitamin d-3 level | $360K | 3% | $24 | $20 (top 5% from $40) | 64th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $306K | 2% | $54 | $45 (top 5% from $110) | 62nd 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 |
|---|---|---|---|---|---|---|---|---|
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 191 | 48 | $21K | $230 | $112 | 2.1x | 2.7x (90th percentile 6.1x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 472 | 105 | $19K | $80 | $56 | 1.4x | 1.8x (90th percentile 2.9x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 347 | 99 | $19K | $140 | $80 | 1.7x | 2.2x (90th percentile 3.8x) |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 472 | 105 | $15K | $80 | $43 | 1.9x | 1.9x (90th percentile 3.1x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 75 | 54 | $5K | $210 | $114 | 1.8x | 2.3x (90th percentile 3.8x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 39 | 39 | $4K | $220 | $113 | 1.9x | 2.3x (90th percentile 4.1x) |
| 87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 25 | 19 | $3K | $300 | $135 | 2.2x | 1.6x (90th percentile 3.2x) |
| 99497 | Advance care planning, first 30 minutes | 53 | 45 | $3K | $170 | $73 | 2.3x | 2.3x (90th percentile 4.9x) |
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
3 providers in Morehouse 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 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | LAGNIAPPE HEALTHCARE, LLC Bastrop, LA, ranked 4133 | $0 |
|
| 3 | PREMIER HOSPICE, LLC Bastrop, LA, ranked 5950 | $0 |
|
| 3 | CHERRY RIDGE SKILLED NURSING FACILITY, LLC Bastrop, LA, ranked 6862 | $0 |
|
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.