Physician Profile
Raphael J. Higginbotham, M.D. practices nephrology in Opelousas, LA. Raphael is a 2001 graduate of Louisiana State University School of Medicine in New Orleans. Medicare claims data shows Raphael provided 2,269 services to 1,102 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes, and 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'.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
927 E PRUDHOMME ST
Opelousas, LA 70570
Within Nephrology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Acid-base disorders
Anatomical conditions
Autoimmune conditions
Blood disorders
Blood pressure
Cysts and growths
Diabetes complications
Dialysis complications
Electrolyte disorders
Fluid retention
Genetic disorders
Hormone disorders
Infections
Inflammatory conditions
Kidney damage
Kidney failure
Kidney filter diseases
Lab abnormalities
Metabolic disorders
Multi-organ conditions
Structural kidney issues
Symptoms
Urine abnormalities
Urine symptoms
Vascular conditions
Vascular kidney issues
Most searched procedures
Consultations
Diagnostic tests
Diagnostics
Dialysis
Dialysis access
Diet and nutrition
Imaging
Infusions
Interventional procedures
Lab tests
Medication management
Medication therapy
Patient education
Prevention
Procedures
Specialized therapies
Supportive care
Surgical procedures
Transplant care
Vascular access
2,269 services · 1,102 patients · 9 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Dialysis services, 2-3 physician visits per month (20 years or older) | Treatment | 90961 |
205 | More than most peers in Nephrology |
| Dialysis services, 4 or more physician visits per month (20 years or older) | Treatment | 90960 |
178 | More often than most peers in Nephrology |
| Home dialysis services per month (20 years or older) | Treatment | 90966 |
66 | As often as other peers in Nephrology |
| Dialysis services, 1 physician visit per month (20 years or older) | Treatment | 90962 |
51 | More often than most peers in Nephrology |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
611 | More than most peers in Nephrology |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
517 | More often than most peers in Nephrology |
| 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' | Billing code | G2211 |
452 | More often than most peers in Nephrology |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
117 | More often than most peers in Nephrology |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
72 | More than most peers in Nephrology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Raphael J. Higginbotham is a kidney specialist in Opelousas, LA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nephrology”.
NPI registry
Raphael J. Higginbotham is listed at 927 E Prudhomme St, Opelousas, LA 70570. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (337) 594-8381. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Raphael J. Higginbotham's National Provider Identifier is 1477507531. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Raphael J. Higginbotham attended Louisiana State University School of Medicine in New Orleans, graduating in 2001. This comes from the CMS National Downloadable File.
CMS public data
Raphael J. Higginbotham has 25 years experience. Calculated from a graduation year of 2001, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Raphael J. Higginbotham provides treatments such as dialysis services, 2-3 physician visits per month and dialysis services, 4 or more physician visits per month, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Raphael J. Higginbotham. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.