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DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT, LLC
DIABETES ASSESSMENT AND MANAGEMENT CENTER OF SHREVEPORT, LLC
NPI: 1073950028
· SHREVEPORT, LA 71101
· 261Q00000X
$1.17M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,286 |
$423K |
| 2019 |
11,863 |
$400K |
| 2020 |
9,889 |
$349K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
23,102 |
15,926 |
$804K |
| 99204 |
|
958 |
892 |
$78K |
| 99214 |
|
1,166 |
1,064 |
$60K |
| 99203 |
|
1,014 |
970 |
$58K |
| 99396 |
|
572 |
540 |
$39K |
| 95250 |
|
599 |
571 |
$39K |
| 99395 |
|
482 |
440 |
$29K |
| 94060 |
|
955 |
872 |
$29K |
| 95251 |
|
589 |
561 |
$13K |
| G0109 |
Diab manage trn ind/group |
620 |
262 |
$7K |
| 94664 |
|
1,058 |
891 |
$6K |
| 90686 |
|
180 |
167 |
$3K |
| 90471 |
|
252 |
228 |
$1K |
| 82043 |
|
408 |
322 |
$1K |
| 90674 |
|
46 |
41 |
$1K |
| G0108 |
Diab manage trn per indiv |
43 |
39 |
$982.21 |
| 96160 |
|
59 |
59 |
$768.75 |
| 99212 |
|
30 |
28 |
$693.23 |
| 96372 |
|
146 |
111 |
$458.72 |
| 99490 |
Ccm add 20min |
77 |
74 |
$202.43 |
| 82044 |
|
90 |
82 |
$191.46 |
| 80305 |
|
19 |
12 |
$136.88 |
| 3077F |
|
27 |
25 |
$90.00 |
| 3080F |
|
23 |
21 |
$85.00 |
| 3079F |
|
24 |
22 |
$65.00 |
| J0696 |
Ceftriaxone sodium injection |
89 |
75 |
$64.39 |
| 3074F |
|
23 |
20 |
$60.00 |
| 3078F |
|
18 |
16 |
$55.00 |
| 3075F |
|
15 |
14 |
$50.00 |
| 94760 |
|
830 |
712 |
$11.34 |
| J1580 |
Garamycin gentamicin inj |
331 |
242 |
$10.12 |
| J1100 |
Dexamethasone sodium phos |
223 |
199 |
$9.53 |
| 83037 |
|
545 |
502 |
$8.74 |
| J3301 |
Triamcinolone acet inj nos |
41 |
35 |
$0.00 |
| Q2037 |
Fluvirin vacc, 3 yrs & >, im |
15 |
15 |
$0.00 |
| 3061F |
|
103 |
98 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
24 |
24 |
$0.00 |
| G0008 |
Admin influenza virus vac |
19 |
19 |
$0.00 |
| 3060F |
|
223 |
206 |
$0.00 |