BOULOUTE HEALTHCARE SERVICES, LLC
NPI: 1104343532
· WOODBRIDGE, VA 22192
· Podiatrist
· NPI assigned 08/25/2017
Provider Details
| Authorized Official | BOULOUTE, OWMY (OWNER) |
| NPI Enumeration Date | 08/25/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
82 |
$584.05 |
| 2020 |
688 |
$4K |
| 2021 |
799 |
$5K |
| 2022 |
1,048 |
$7K |
| 2023 |
1,222 |
$11K |
| 2024 |
1,048 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
2,493 |
2,253 |
$16K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,873 |
1,712 |
$16K |
| 99304 |
|
437 |
386 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$161.04 |
| 99347 |
|
45 |
42 |
$140.15 |
| 99342 |
|
14 |
14 |
$96.82 |