LAKE URGENT CARE ASCENSION LLC

NPI: 1104162221 · PRAIRIEVILLE, LA 70769 · Urgent Care Clinic/Center · NPI assigned 12/18/2012

$7K

Total Medicaid Paid

263

Total Claims

227

Beneficiaries

Codes Billed

2021-07

First Month

2021-12

Last Month

Provider Details

Authorized Official	SELLARS, STEVE (PRESIDENT)
NPI Enumeration Date	12/18/2012

Other providers sharing the same authorized official: SELLARS, STEVE

Provider	City	State	Total Paid
RAPIDES AFTER HOURS CLINIC LLC	PINEVILLE	LA	$13.59M
LAKE URGENT CARE ASCENSION LLC	PRAIRIEVILLE	LA	$10.54M
TOTAL URGENT CARE AND OCCUPATIONAL MEDICINE	CUT OFF	LA	$1.65M
INDIANA UNIVERSITY HEALTH URGENT CARE CENTERS, LLC	BROWNSBURG	IN	$261K
LAKE URGENT CARE ASCENSION LLC	SAINT AMANT	LA	$213K
RAPIDES AFTER HOURS CLINIC LLC	ALEXANDRIA	LA	$18K
ST. VINCENT'S URGENT CARE LLC	HOMEWOOD	AL	$12K
CONVENIENT CARE LLC	ZACHARY	LA	$3K
CONVENIENT CARE LLC	BATON ROUGE	LA	$1K

Year	Claims	Total Paid
2021	263	$7K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	50	49	$5K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	16	16	$2K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	139	119	$50.00
99051		28	28	$0.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	30	15	$0.00