DAVID RAINES COMMUNITY HEALTH CENTER, INC.
NPI: 1104249473
· SHREVEPORT, LA 71108
· 261QF0400X
$2.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,332 |
$119K |
| 2019 |
6,073 |
$391K |
| 2020 |
4,321 |
$251K |
| 2021 |
4,824 |
$292K |
| 2022 |
8,886 |
$442K |
| 2023 |
8,551 |
$324K |
| 2024 |
7,080 |
$186K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
13,343 |
9,933 |
$1.60M |
| D0999 |
|
5,366 |
3,004 |
$401K |
| 3044F |
|
18 |
15 |
$40.00 |
| D1110 |
|
15 |
13 |
$15.00 |
| D0150 |
|
302 |
191 |
$5.10 |
| 99395 |
|
289 |
250 |
$0.00 |
| 99396 |
|
655 |
588 |
$0.00 |
| G8752 |
Sys bp less 140 |
359 |
323 |
$0.00 |
| 99212 |
|
558 |
461 |
$0.00 |
| 3078F |
|
870 |
754 |
$0.00 |
| 1159F |
|
351 |
296 |
$0.00 |
| 3077F |
|
293 |
267 |
$0.00 |
| D0220 |
|
151 |
91 |
$0.00 |
| 99203 |
|
142 |
129 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
74 |
70 |
$0.00 |
| D0274 |
|
28 |
14 |
$0.00 |
| 99213 |
|
9,265 |
7,298 |
$0.00 |
| 3075F |
|
262 |
237 |
$0.00 |
| 1036F |
|
1,187 |
1,042 |
$0.00 |
| 99214 |
|
1,019 |
837 |
$0.00 |
| 3079F |
|
685 |
622 |
$0.00 |
| 3074F |
|
1,072 |
935 |
$0.00 |
| 3008F |
|
1,939 |
1,703 |
$0.00 |
| 3080F |
|
69 |
65 |
$0.00 |
| 2001F |
|
1,920 |
1,684 |
$0.00 |
| 3048F |
|
15 |
14 |
$0.00 |
| 36415 |
|
188 |
166 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
58 |
52 |
$0.00 |
| 1126F |
|
296 |
246 |
$0.00 |
| D0210 |
|
262 |
178 |
$0.00 |
| G8754 |
Dias bp less 90 |
389 |
354 |
$0.00 |
| D7140 |
|
484 |
248 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
17 |
17 |
$0.00 |
| 1125F |
|
45 |
38 |
$0.00 |
| 1111F |
|
16 |
15 |
$0.00 |
| D0140 |
|
44 |
29 |
$0.00 |
| 99202 |
|
21 |
17 |
$0.00 |