DAVID RAINES COMMUNITY HEALTH CENTER, INC
NPI: 1215933254
· SHREVEPORT, LA 71107
· 261QF0400X
$11.73M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
71,128 |
$3.54M |
| 2019 |
33,785 |
$1.82M |
| 2020 |
28,534 |
$1.48M |
| 2021 |
32,912 |
$1.43M |
| 2022 |
24,774 |
$814K |
| 2023 |
50,919 |
$1.75M |
| 2024 |
29,303 |
$907K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
73,398 |
50,253 |
$8.97M |
| D0999 |
|
24,934 |
16,798 |
$2.16M |
| H2020 |
Ther behav svc, per diem |
4,830 |
2,441 |
$451K |
| D7140 |
|
8,901 |
3,700 |
$68K |
| D0210 |
|
3,604 |
2,399 |
$28K |
| D0150 |
|
4,500 |
2,996 |
$26K |
| D1110 |
|
1,950 |
1,466 |
$10K |
| D0140 |
|
2,718 |
1,988 |
$9K |
| D0220 |
|
3,727 |
2,757 |
$5K |
| D0330 |
|
217 |
134 |
$1K |
| 99050 |
|
132 |
112 |
$790.93 |
| D0120 |
|
384 |
261 |
$762.72 |
| D0274 |
|
357 |
219 |
$748.00 |
| D2391 |
|
68 |
40 |
$638.24 |
| D0230 |
|
305 |
106 |
$273.24 |
| D2392 |
|
20 |
15 |
$82.14 |
| 99202 |
|
986 |
747 |
$42.77 |
| 99051 |
|
31 |
13 |
$40.14 |
| 90792 |
|
4,865 |
3,129 |
$3.57 |
| 36415 |
|
2,501 |
1,947 |
$2.15 |
| 99213 |
|
34,327 |
24,223 |
$0.01 |
| 3074F |
|
7,068 |
5,184 |
$0.00 |
| 99214 |
|
14,620 |
11,314 |
$0.00 |
| 3075F |
|
521 |
466 |
$0.00 |
| 1036F |
|
8,517 |
6,066 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
1,416 |
1,068 |
$0.00 |
| 1126F |
|
1,463 |
1,219 |
$0.00 |
| 2001F |
|
10,157 |
7,380 |
$0.00 |
| 99384 |
|
127 |
94 |
$0.00 |
| G8754 |
Dias bp less 90 |
2,962 |
2,011 |
$0.00 |
| 3008F |
|
10,470 |
7,571 |
$0.00 |
| 85018 |
|
453 |
379 |
$0.00 |
| 3079F |
|
1,694 |
1,454 |
$0.00 |
| 0011A |
|
1,158 |
1,103 |
$0.00 |
| 0064A |
|
172 |
156 |
$0.00 |
| 1111F |
|
1,437 |
1,076 |
$0.00 |
| 91301 |
|
2,369 |
2,205 |
$0.00 |
| 3048F |
|
207 |
189 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
1,203 |
791 |
$0.00 |
| 85025 |
|
155 |
105 |
$0.00 |
| D1208 |
|
119 |
78 |
$0.00 |
| 92551 |
|
266 |
202 |
$0.00 |
| 0012A |
|
1,118 |
1,024 |
$0.00 |
| 3080F |
|
428 |
369 |
$0.00 |
| 99383 |
|
320 |
231 |
$0.00 |
| 80053 |
|
112 |
77 |
$0.00 |
| D1330 |
|
66 |
60 |
$0.00 |
| 80069 |
|
58 |
34 |
$0.00 |
| 90847 |
|
16 |
13 |
$0.00 |
| 3044F |
|
15 |
12 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
129 |
106 |
$0.00 |
| 0001A |
|
55 |
36 |
$0.00 |
| 1034F |
|
37 |
31 |
$0.00 |
| 90686 |
|
90 |
78 |
$0.00 |
| 84443 |
|
31 |
28 |
$0.00 |
| 83036 |
|
33 |
19 |
$0.00 |
| 87426 |
|
15 |
13 |
$0.00 |
| 99394 |
|
1,715 |
1,431 |
$0.00 |
| 99212 |
|
4,138 |
3,251 |
$0.00 |
| 99382 |
|
62 |
56 |
$0.00 |
| 90791 |
|
1,118 |
683 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
253 |
205 |
$0.00 |
| 3078F |
|
6,440 |
4,736 |
$0.00 |
| 99396 |
|
583 |
501 |
$0.00 |
| 90853 |
|
1,456 |
790 |
$0.00 |
| 99203 |
|
1,515 |
1,109 |
$0.00 |
| 99392 |
|
805 |
720 |
$0.00 |
| 99393 |
|
1,707 |
1,362 |
$0.00 |
| G8752 |
Sys bp less 140 |
2,831 |
1,915 |
$0.00 |
| 90832 |
|
1,305 |
727 |
$0.00 |
| 90837 |
|
95 |
69 |
$0.00 |
| 81003 |
|
242 |
203 |
$0.00 |
| 3077F |
|
933 |
771 |
$0.00 |
| 81025 |
|
365 |
302 |
$0.00 |
| 1159F |
|
1,519 |
1,296 |
$0.00 |
| 99391 |
|
189 |
162 |
$0.00 |
| 87880 |
|
364 |
248 |
$0.00 |
| 99173 |
|
512 |
405 |
$0.00 |
| G0071 |
Comm svcs by rhc/fqhc 5 min |
41 |
38 |
$0.00 |
| 99395 |
|
302 |
250 |
$0.00 |
| 80061 |
|
83 |
48 |
$0.00 |
| 81002 |
|
53 |
44 |
$0.00 |
| D1120 |
|
46 |
26 |
$0.00 |
| 87804 |
|
181 |
74 |
$0.00 |
| 0002A |
|
77 |
65 |
$0.00 |
| 91300 |
|
207 |
155 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
142 |
110 |
$0.00 |
| D1999 |
|
127 |
124 |
$0.00 |
| 82947 |
|
53 |
31 |
$0.00 |
| 0013A |
|
36 |
35 |
$0.00 |
| 99204 |
|
15 |
15 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |