Internal Medicine, Rheumatology · Hammond, LA
NPI
1649460239
Since 2007
Specialty
Internal Medicine, Rheumatology
Code 207RR0500X
Group practices
2
Medicare group memberships
Hospitals
5
Hospital affiliations
15813 Paul Vega MD Dr Ste 400
Hammond, LA, 70403
Phone (985) 230-1835
Groups this clinician bills Medicare through
Medicare paid, 2024
$60K
1,419 services
Medicare patients, 2024
365
Average age 71
Drug cost, 2024
$9.4M
15,486 prescriptions
Company payments, 2025
$35K
From 14 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Carl M Gauthier Jr. was code 99214 (office e&m - established), 739 times for 341 patients. In total Carl M Gauthier Jr. billed 1,419 services in 13 codes, and Medicare paid $60K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2022-12-08.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99214 Office E&M - Established | Facility | 739 | 341 | $61.75 | $46K |
| G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | Facility | 442 | 264 | $12.19 | $5,387 |
| 20610 Joint Injection | Facility | 131 | 57 | $35.71 | $4,678 |
| 99213 Office E&M - Established | Facility | 43 | 26 | $45.50 | $1,957 |
| 99204 Office E&M - New | Facility | 23 | 23 | $79.50 | $1,829 |
| 20600 Joint Injection | Facility | 16 | 13 | $18.00 | $288 |
By year: 2022 $83K for 1,329 services; 2023 $69K for 1,153 services; 2024 $60K for 1,419 services.
Medicare prescription drug claims, 2024
In 2024, the drug Carl M Gauthier Jr. prescribed most often to Medicare patients was Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen), with 1,296 prescriptions and refills. In total Carl M Gauthier Jr. wrote 15,486 Medicare prescriptions that cost $9.4M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 1,296 | 1,296 | 198 | $27K |
| Hydroxychloroquine Sulfate Generic | 1,290 | 2,299 | 257 | $42K |
| Tramadol Hcl Generic | 1,158 | 1,168 | 162 | $11K |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 1,104 | 1,106 | 123 | $35K |
| Prednisone Generic | 838 | 1,292 | 225 | $4,201 |
| Meloxicam Generic | 655 | 1,264 | 172 | $2,898 |
| Methotrexate Methotrexate Sodium | 573 | 1,168 | 133 | $11K |
| Duloxetine Hcl Generic | 572 | 1,076 | 121 | $8,995 |
| Gabapentin Generic | 542 | 855 | 115 | $8,936 |
| Diclofenac Sodium Generic | 516 | 706 | 156 | $30K |
| Nabumetone Generic | 450 | 695 | 116 | $7,070 |
| Celecoxib Generic | 377 | 657 | 87 | $10K |
| Humira(Cf) Pen Adalimumab | 348 | 366 | 41 | $2.8M |
| Pregabalin Generic | 315 | 363 | 51 | $4,209 |
| Leflunomide Generic | 315 | 510 | 63 | $13K |
Brand drugs: 1,490 claims; generic drugs: 13,983 claims; opioid claims: 3,744.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Carl M Gauthier Jr. $35K ($35K in general payments such as food, travel and fees) from 14 companies. The largest payer was Abbvie Inc. with $20K.
| Company | Payments | Amount |
|---|---|---|
| Abbvie Inc. ABBV | 55 | $20K |
| Amgen Inc. AMGN | 27 | $7,597 |
| E.R. Squibb & Sons, L.L.C. BMY | 9 | $6,470 |
| UCB, Inc. UCB.BR | 13 | $194 |
| GlaxoSmithKline, LLC. GSK | 7 | $130 |
| Janssen Biotech, Inc. JNJ | 6 | $122 |
| Radius Health, Inc. | 2 | $56.42 |
| Fresenius Kabi USA, LLC | 2 | $40.01 |
| Alexion Pharmaceuticals, Inc. AZN | 1 | $26.54 |
| Pfizer Inc. PFE | 1 | $24.28 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.