SOUTH SHREVEPORT FAMILY MEDICINE, LLC
NPI: 1013217595
· SHREVEPORT, LA 71105
· Family Medicine Physician
· NPI assigned 10/29/2010
$204K
Total Medicaid Paid
Provider Details
| Authorized Official | BARNES, JON (FNP) |
| NPI Enumeration Date | 10/29/2010 |
Related Entities
Other providers sharing the same authorized official: BARNES, JON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,077 |
$64K |
| 2019 |
2,009 |
$64K |
| 2020 |
1,866 |
$62K |
| 2021 |
427 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,137 |
4,564 |
$154K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,128 |
1,082 |
$44K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
69 |
67 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
37 |
$2K |