Nurse Practitioner - Physician Assistant - Gastroenterology - FT

Local GI market

68 gastroenterologists

within 30 miles. That is 17.7 per 100,000 adults aged 45-74, 30% more than the US average (13.6).

28% of them finished medical school 30 or more years ago (US: 36%).

Source: CMS Doctors and Clinicians file; Census ACS 2019-2023.

Procedure mix nearby

60% colonoscopy

Medicare fee-for-service procedures billed within 30 miles in 2024: 8,832 colonoscopies, 5,054 EGDs, 483 ERCPs, 430 EUS.

ERCP volume is heavy and EUS is heavy for the population, compared with the US (adjusted for Medicare Advantage share). 97% done in a hospital or surgery center; 67% by gastroenterologists.

70.8% of adults 45-75 in this county are up to date on colorectal screening, 4.5 points above the state (66.3%).

68% of Medicare patients here are in Medicare Advantage (state: 57%). Medicare procedure counts above cover only the other 32%.

Source: CMS Medicare Physician and Other Practitioners by provider and service, 2024 (fee-for-service only; services for fewer than 11 patients hidden). CMS MA penetration; CDC PLACES 2025 (2022 survey).

Cost of living

Prices in Louisiana are 11.8% below the US average.

Louisiana state income tax on $450k: about $14k (3%), single filer, before deductions. Local taxes not included. ($450k is a reference salary; this ad states none.)

Source: BEA regional price parities, 2024. State level; big metros cost more. Tax: Tax Foundation 2026 state brackets.

Hospitals and surgery centers

16 hospitals, 19 surgery centers

within 30 miles. 12 of the hospitals run an emergency department; 3 of 9 rated hold 4 or 5 CMS stars.

Nearest: New Orleans East Hospital (3 mi); St Bernard Parish Hospital (7 mi, 4 stars); Southeast Louisiana Veterans Health Care System (11 mi, 3 stars).

6 of the surgery centers reported 7,023 Medicare outpatient colonoscopies in a year. More endoscopy centers usually means more ASC ownership and partnership options.

Source: CMS Care Compare, Hospital General Information and ASC Quality Reporting (ASC-12 colonoscopy cases, Medicare fee-for-service). Located by ZIP code.

State rules for your contract

Noncompete: Limited by state law

Specialists: ends 5 years after the first contract (primary care 3). Only your parish and two next to it. La. R.S. 23:921 (Act 273), from 2025-01-01. Usually covers only contracts signed after that date.

Interstate Medical Licensure Compact: member (faster multi-state licensing).

State law summary, not legal advice. Have a contract lawyer read your agreement. Source; IMLC states; all states.

Employer

Academic medical center, 501(c)(3)

The employer is a 501(c)(3) nonprofit. W-2 jobs with it usually count toward Public Service Loan Forgiveness (PSLF). Confirm which entity pays you.

Source

Visas (H-1B / J-1)

This employer filed 5 H-1B wage filings for attending GI physicians (2024-2026), at $350k-$550k (median $550k).

All GI H-1B filings in Louisiana: 7, median $350k.

Parts of this county are federal primary care shortage areas (HPSAs). Check the exact practice address. Conrad 30 J-1 waiver jobs usually must be in a shortage area; each state sets its own rules. State J-1 waiver contacts (3RNET).

Source: US Dept. of Labor LCA disclosure data (certified H-1B, FY2024-FY2026); HRSA HPSA data. All GI H-1B employers