Dr. Raphael John Higginbotham, MD
- Medicare services, 2024
- 2,269
- Medicare patients, 2024
- 595
- Part D claims, 2024
- 9,397
- MIPS score, 2024
- 96
- Hospital affiliations
- 5
- Practice address
- 927 East Prudhomme, Opelousas, LA 70570
- Practice phone
- Call (337) 594-8535
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
DCI - Opelousas
Dialysis Center - Independent · Opelousas, Louisiana
Find Dr. Higginbotham's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Raphael John Higginbotham is a nephrologist in Opelousas, Louisiana
Dr. Higginbotham practices at DCI - Opelousas in Opelousas, Louisiana.
Dr. Higginbotham's NPI, 1477507531, was assigned on May 20, 2006. Dr. Higginbotham graduated from LSU Health Sciences Center New Orleans - School of Medicine in 2001. Dr. Higginbotham holds Louisiana license 025644.
- NPI
- 1477507531NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1355344276
- NPI enumeration date
- May 20, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (337) 594-8535
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 51
- Medical school graduation
- 2001
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Raphael John Higginbotham practices at DCI - Opelousas in Opelousas, Louisiana
Dr. Higginbotham's primary practice is DCI - Opelousas, at 927 East Prudhomme, Opelousas, LA 70570 in Saint Landry Parish. The practice phone is (337) 594-8535.
- DCI - Opelousas927 East Prudhomme, Opelousas, LA 70570 · Saint Landry ParishPhone(337) 594-8535
Source: Dmand AI Affiliation Data
Dr. Raphael John Higginbotham is affiliated with 11 sites of care and 3 medical groups
Dr. Higginbotham's primary practice is DCI - Opelousas in Opelousas, Louisiana. Dr. Higginbotham is also affiliated with Opelousas General Health System. The medical group on file is Kidney Treatment Options Center of Opelousas. Dmand AI also links Dr. Higginbotham to 4 more hospitals, 4 dialysis centers, 2 medical groups and 1 group practice or clinic, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Raphael John Higginbotham's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Higginbotham practices, 11 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| DCI - Opelousas | Available with a free account |
| +10 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Raphael John Higginbotham is one of 196 nephrologists in Louisiana
Nephrology is Dr. Higginbotham's primary specialty in the NPI Registry, under taxonomy code 207RN0300X. Dr. Higginbotham is board certified in internal medicine by the American Board of Internal Medicine. Dr. Higginbotham is licensed in Louisiana.
Specialties and state licenses
- Nephrology, LouisianaPrimary
Clinical focus
Dmand AI lists acute kidney failure, chronic kidney disease and fluid and electrolyte imbalances among the conditions Dr. Higginbotham treats.
Nephrologists near Dr. Higginbotham
Counts of nephrologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Raphael John Higginbotham billed Medicare for 2,269 services in 2024
CMS data shows 2,269 Medicare services from Dr. Higginbotham across 9 procedure codes in 2024, for 595 Medicare patients. Medicare paid $196,821 for them.
Dr. Higginbotham's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1,4102024: 1,3177%
- Tests and treatments
- 2023: 5922024: 50016%
- Other services
- 2023: 02024: 452
Where Dr. Higginbotham's Medicare services took place, 2024
- In an office1,63572%
- In a facility63428%
Dr. Higginbotham compared with the Louisiana median for nephrologists, 2024
- Dr. Higginbotham
- Louisiana median
- Medicare services
- 2,269vs 6163.7 times
- Medicare patients
- 595vs 2122.8 times
- Part D claims
- 8,939vs 76911.6 times
Medians across 192 nephrologists in Louisiana with Dmand AI profiles that report each measure.
Dr. Higginbotham's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Higginbotham and other nephrologists in Louisiana.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Raphael John Higginbotham treated 595 Medicare patients in 2024, average age 75
CMS counts 595 Medicare patients who saw Dr. Higginbotham in 2024. The largest group is 65 to 74, with 227 patients. 75% of them have chronic kidney disease, and 75% have high blood pressure. 17% are also on Medicaid. Their average risk score is 3.06, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Higginbotham's median patient age at 56, with 54% women.
Dr. Higginbotham's Medicare patients by age, 2024
Dr. Higginbotham's Medicare patients by sex, 2024
- Women25944%
- Men33656%
Chronic conditions among Dr. Higginbotham's Medicare patients, 2024
- Chronic kidney disease75%
- High blood pressure75%
- High cholesterol75%
- Diabetes60%
- Ischemic heart disease59%
- Heart failure54%
- Arthritis50%
- Atrial fibrillation34%
Share of Medicare patients with each condition. A patient can have several.
Dr. Higginbotham's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 56
Patient panel by sex, all payers
- Women54%
- Men45%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Raphael John Higginbotham wrote 9,397 Medicare Part D claims in 2024
In 2024, Dr. Higginbotham wrote 9,397 Medicare Part D claims for 734 patients. 83% of them were for generic drugs. CMS names the drug for 8,939 of them, across 109 drugs with 11 or more claims each, at $1,748,751 in total drug cost. In 2023, CMS named 8,308 claims across 112 drugs.
Dr. Higginbotham's Part D claims by kind of drug, 2024
- Generic7,827 claims83%
- Brand-name1,540 claims16%
- Other30 claims0%
Dr. Higginbotham's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Higginbotham's Part D claims, 2024
- Opioids1%100 of 9,397 claims
- Antibiotics1%115 of 9,397 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 8,3082024: 8,9398%
Drugs named by CMS: 109 in 2024, 112 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Raphael John Higginbotham scored 96 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Dr. Higginbotham for performance year 2024, reported individually. Dr. Higginbotham accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Higginbotham as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Higginbotham's MIPS scores, performance year 2024
- 96of 100Final score
- 95.6of 100Quality
- 40of 100Improvement Activities
- 73of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Raphael John Higginbotham received $8,162 in industry payments from 2016 to 2025
CMS Open Payments shows 369 general payments to Dr. Higginbotham from 30 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 95% of the total. Otsuka America Pharmaceutical, Inc. paid the most, $1,045.
General payments to Dr. Higginbotham by program year, 2016 to 2025
General payments to Dr. Higginbotham by kind, 2016 to 2025
- Food and beverage$7,73895%
- Education$4245%
Companies that paid Dr. Higginbotham the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Raphael John Higginbotham graduated from LSU Health Sciences Center New Orleans - School of Medicine
Dr. Higginbotham graduated from LSU Health Sciences Center New Orleans - School of Medicine in 2001.
- Medical school
- Board certified in internal medicine
- Board certified in nephrology
Source: Dmand AI Professional Profile Data
Dr. Raphael John Higginbotham accepts plans from 17 insurance carriers
Dr. Higginbotham is in network with 17 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- Elevance
- United Healthcare
- HCSC
- Alliant Health Plans
- Aspirus Health Plan
- Blue Cross Blue Shield of Massachusetts
- +9 more carriersWith a free account
Plan types Dr. Higginbotham accepts, by number of carriers
- PPO12
- HMO7
- Medicare7
- POS6
- EPO4
Source: Dmand AI Insurance Network Data
Sources for Dr. Raphael John Higginbotham's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Raphael John Higginbotham
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Raphael John Higginbotham's NPI number?
Dr. Raphael John Higginbotham's NPI number is 1477507531. It was assigned on May 20, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Raphael John Higginbotham?
Dr. Raphael John Higginbotham is a nephrologist in Opelousas, Louisiana. The primary specialty in the NPI Registry is Nephrology Physician (taxonomy code 207RN0300X).
Where does Dr. Raphael John Higginbotham practice?
Dr. Higginbotham practices at 927 East Prudhomme, Opelousas, LA 70570. Dr. Higginbotham's primary practice is DCI - Opelousas in Opelousas, Louisiana. Dmand AI also links Dr. Higginbotham to 4 hospitals, 4 dialysis centers, 2 medical groups and 1 group practice or clinic.
What is Dr. Raphael John Higginbotham's office phone number?
The practice phone on file for Dr. Higginbotham is (337) 594-8535.
What is Dr. Raphael John Higginbotham's medical license number?
Dr. Higginbotham holds Louisiana license 025644.
Which hospitals is Dr. Raphael John Higginbotham affiliated with?
Dr. Higginbotham is affiliated with Opelousas General Health System. Dmand AI links Dr. Higginbotham to 4 more hospitals.
What medical group is Dr. Raphael John Higginbotham part of?
Dr. Higginbotham is linked to Kidney Treatment Options Center of Opelousas. Dmand AI links Dr. Higginbotham to 2 more medical groups.
Does Dr. Raphael John Higginbotham accept Medicare?
Yes. CMS data shows Dr. Higginbotham billed Medicare for 2,269 services in 2024, and Dr. Higginbotham accepts Medicare assignment.
Does Dr. Raphael John Higginbotham offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Higginbotham as offering telehealth services.
What is Dr. Raphael John Higginbotham's MIPS score?
Dr. Higginbotham's MIPS final score for performance year 2024 is 96 out of 100, reported individually.
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How many Medicare patients does Dr. Raphael John Higginbotham see?
CMS counts 595 Medicare patients who saw Dr. Higginbotham in 2024, with an average age of 75.
Is Dr. Raphael John Higginbotham board certified?
Yes. Dr. Higginbotham is board certified in internal medicine by the American Board of Internal Medicine.
What services does Dr. Raphael John Higginbotham bill to Medicare?
In 2024, Dr. Higginbotham's most billed Medicare services were office visit, established patient (99214), hospital inpatient care (99232) and medicare service (G2211).
Where did Dr. Raphael John Higginbotham go to medical school?
Dr. Higginbotham graduated from LSU Health Sciences Center New Orleans - School of Medicine in 2001.
What drugs does Dr. Raphael John Higginbotham prescribe most?
In 2024 Medicare Part D data, Dr. Higginbotham's most prescribed drugs by claims were Calcitriol, Torsemide and Amlodipine Besylate.
Has Dr. Raphael John Higginbotham received payments from drug or device companies?
CMS Open Payments shows $8,162 in general payments to Dr. Higginbotham from 30 companies from 2016 to 2025. The largest total came from Otsuka America Pharmaceutical, Inc.
How long has Dr. Raphael John Higginbotham been practicing?
Dr. Higginbotham graduated from medical school in 2001, 25 years ago.
What insurance does Dr. Raphael John Higginbotham accept?
Dr. Higginbotham is in network with 17 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.
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