NORTHLAKE MEDICINE AND WELLNESS CENTER, LLC
NPI: 1073693958
· COVINGTON, LA 70433
· Primary Care Clinic/Center
· NPI assigned 10/16/2006
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | LEVI, TANIA (OWNER) |
| NPI Enumeration Date | 10/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,320 |
$18K |
| 2019 |
650 |
$15K |
| 2020 |
729 |
$14K |
| 2021 |
1,030 |
$21K |
| 2022 |
991 |
$15K |
| 2023 |
1,635 |
$20K |
| 2024 |
778 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,453 |
2,645 |
$114K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$747.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
18 |
$706.64 |
| 90756 |
|
23 |
18 |
$45.63 |
| 3078F |
|
686 |
592 |
$0.00 |
| 1160F |
|
237 |
199 |
$0.00 |
| 1159F |
|
90 |
73 |
$0.00 |
| 1026F |
|
13 |
12 |
$0.00 |
| 3075F |
|
308 |
233 |
$0.00 |
| 3074F |
|
1,069 |
912 |
$0.00 |
| 3079F |
|
626 |
500 |
$0.00 |
| 1170F |
|
126 |
85 |
$0.00 |
| 1000F |
|
161 |
130 |
$0.00 |
| 1036F |
|
130 |
96 |
$0.00 |
| 1126F |
|
112 |
73 |
$0.00 |
| 3008F |
|
42 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
14 |
$0.00 |