LITTLE LANTERN CLINIC LLC
NPI: 1114409133
· CARROLLTON, TX 75010
· Internal Medicine Physician
· NPI assigned 09/06/2018
$177K
Total Medicaid Paid
Provider Details
| Authorized Official | LUKOSE, BIJU (DIRECTOR) |
| NPI Enumeration Date | 09/06/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
90 |
$2K |
| 2021 |
1,045 |
$32K |
| 2022 |
3,001 |
$99K |
| 2023 |
530 |
$17K |
| 2024 |
868 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,188 |
3,446 |
$159K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
229 |
216 |
$11K |
| 99385 |
|
76 |
72 |
$6K |
| 99386 |
|
13 |
13 |
$752.80 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
12 |
$664.72 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
14 |
$0.00 |