NPI: 1023139458 · PINEVILLE, LA 71360 · Student Health Clinic/Center · NPI assigned 04/03/2007
Authorized official WILSON, MONTE controls 20+ related entities in our dataset. Read more
| Authorized Official | WILSON, MONTE (CEO) |
| NPI Enumeration Date | 04/03/2007 |
Other providers sharing the same authorized official: WILSON, MONTE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 724 | $17K |
| 2019 | 974 | $21K |
| 2020 | 650 | $16K |
| 2021 | 1,182 | $33K |
| 2022 | 1,746 | $53K |
| 2023 | 773 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,187 | 1,046 | $44K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 425 | 383 | $24K |
| 90791 | Psychiatric diagnostic evaluation | 378 | 361 | $22K |
| 90832 | Psychotherapy, 30 minutes with patient | 637 | 484 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 744 | 627 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1,165 | 887 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 127 | 125 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 454 | 440 | $6K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 213 | 96 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 57 | 57 | $2K |
| 0072A | 28 | 28 | $1K | |
| 0071A | 15 | 15 | $647.60 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 25 | 25 | $231.00 |
| 92551 | 26 | 26 | $215.02 | |
| 99173 | 39 | 39 | $78.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 114 | 88 | $0.00 |
| 90686 | 343 | 339 | $0.00 | |
| 91307 | 72 | 65 | $0.00 |