PRIMARY HEALTH SERVICES CENTER
NPI: 1104384205
· WEST MONROE, LA 71291
· 261QF0400X
$2.58M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
1,150 |
$62K |
| 2020 |
8,304 |
$440K |
| 2021 |
11,690 |
$557K |
| 2022 |
17,466 |
$625K |
| 2023 |
12,658 |
$472K |
| 2024 |
10,258 |
$429K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
20,216 |
12,260 |
$2.34M |
| H2020 |
Ther behav svc, per diem |
2,056 |
855 |
$214K |
| 98960 |
|
815 |
280 |
$27K |
| 3074F |
|
3,333 |
2,661 |
$275.00 |
| 3078F |
|
2,184 |
1,783 |
$190.00 |
| 3079F |
|
2,611 |
2,099 |
$180.00 |
| 3075F |
|
994 |
819 |
$75.00 |
| 99213 |
|
7,536 |
5,457 |
$41.53 |
| 3077F |
|
754 |
591 |
$25.00 |
| 99212 |
|
9,626 |
6,902 |
$24.83 |
| 3080F |
|
379 |
301 |
$5.00 |
| 96372 |
|
871 |
624 |
$0.00 |
| 3008F |
|
5,563 |
4,321 |
$0.00 |
| 99202 |
|
143 |
124 |
$0.00 |
| J0696 |
Ceftriaxone sodium injection |
78 |
65 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
335 |
261 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
113 |
81 |
$0.00 |
| J1094 |
Inj dexamethasone acetate |
15 |
12 |
$0.00 |
| 82962 |
|
47 |
45 |
$0.00 |
| 87426 |
|
196 |
162 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
13 |
12 |
$0.00 |
| 83036 |
|
14 |
12 |
$0.00 |
| 90832 |
|
2,992 |
1,099 |
$0.00 |
| 99203 |
|
315 |
292 |
$0.00 |
| 81025 |
|
159 |
137 |
$0.00 |
| J7637 |
Dexamethasone comp con |
42 |
33 |
$0.00 |
| 82948 |
|
96 |
74 |
$0.00 |
| 87804 |
|
30 |
28 |
$0.00 |