NPI: 1215354014 · GALLIANO, LA 70354 · Federally Qualified Health Center (FQHC) · NPI assigned 03/19/2014
Authorized official WILTZ, GARY controls 13+ related entities in our dataset. Read more
| Authorized Official | WILTZ, GARY (CEO) |
| NPI Enumeration Date | 03/19/2014 |
Other providers sharing the same authorized official: WILTZ, GARY
| Provider | City | State | Total Paid |
|---|---|---|---|
| TECHE ACTION BOARD, INC. | HOUMA | LA | $11.09M |
| TECHE ACTION BOARD INC | FRANKLIN | LA | $8.64M |
| TECHE ACTION BOARD INC | MORGAN CITY | LA | $4.37M |
| TECHE ACTION BOARD, INC. | HOUMA | LA | $3.50M |
| TECHE ACTION BOARD, INC. | THIBODAUX | LA | $2.59M |
| TECHE ACTION BOARD, INC. | BALDWIN | LA | $1.61M |
| TECHE ACTION BOARD INC | PIERRE PART | LA | $1.50M |
| TECHE ACTION BOARD INC | RESERVE | LA | $1.05M |
| TECHE ACTION BOARD, INC. | RESERVE | LA | $267K |
| TECHE ACTION BOARD, INC. | GRAMERCY | LA | $121K |
| TECHE ACTION BOARD, INC. | EDGARD | LA | $78K |
| TECHE ACTION BOARD, INC. | EDGARD | LA | $23K |
| TECHE ACTION BOARD, INC. | LA PLACE | LA | $22K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,902 | $195K |
| 2019 | 5,791 | $146K |
| 2020 | 2,183 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 4,357 | 1,917 | $329K |
| H2020 | Therapeutic behavioral services, per diem | 2,541 | 768 | $62K |
| 90834 | Psychotherapy, 45 minutes with patient | 3,654 | 1,439 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,941 | 679 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 95 | 84 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 157 | 108 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 131 | 59 | $0.00 |