Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ANNA FONTENOT MEDICAL CENTER LLC

NPI: 1164995742 · VILLE PLATTE, LA 70586 · Family Medicine Physician · NPI assigned 01/07/2019

$1.85M
Total Medicaid Paid
56,851
Total Claims
35,224
Beneficiaries
48
Codes Billed
2021-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVIDRINE, KELLI (BILLING MANAGER)
NPI Enumeration Date01/07/2019

Related Entities

Other providers sharing the same authorized official: VIDRINE, KELLI

ProviderCityStateTotal Paid
MERCY PHYSICIAN PRACTICES LLC VILLE PLATTE LA $1.91M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 12,344 $323K
2022 17,002 $616K
2023 16,764 $541K
2024 10,741 $375K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 19,353 10,808 $1.38M
H2020 Therapeutic behavioral services, per diem 6,656 3,485 $477K
99051 78 58 $473.80
0001A 33 31 $310.40
0002A 34 30 $248.32
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,298 4,017 $120.01
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,193 7,172 $88.76
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,389 3,664 $75.00
G9919 Screening performed and positive and provision of recommendations 88 51 $60.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 100 44 $40.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,170 767 $20.00
96127 1,102 812 $0.20
90785 352 270 $0.00
90832 Psychotherapy, 30 minutes with patient 260 181 $0.00
90472 Immunization administration, each additional vaccine (list separately) 165 107 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 80 57 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 156 121 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 29 20 $0.00
90837 Psychotherapy, 53 minutes with patient 1,800 956 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 407 295 $0.00
99215 Prolong outpt/office vis 41 20 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 99 81 $0.00
96160 150 140 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 110 98 $0.00
91300 87 73 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 40 25 $0.00
81002 76 38 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $0.00
99408 14 13 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 253 204 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 52 38 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 13 13 $0.00
80305 23 12 $0.00
3079F 83 66 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 450 329 $0.00
87340 112 87 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 156 121 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 390 206 $0.00
86803 112 87 $0.00
90792 Psychiatric diagnostic evaluation with medical services 13 13 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 97 70 $0.00
3074F 83 67 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 251 204 $0.00
3008F 55 43 $0.00
90834 Psychotherapy, 45 minutes with patient 211 130 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 94 63 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 13 $0.00
2001F 16 12 $0.00