NPI: 1215933254 · SHREVEPORT, LA 71107 · Federally Qualified Health Center (FQHC) · NPI assigned 06/23/2005
Authorized official WHITE, WILLIE controls 16+ related entities in our dataset. Read more
| Authorized Official | WHITE, WILLIE (CEO) |
| NPI Enumeration Date | 06/23/2005 |
Other providers sharing the same authorized official: WHITE, WILLIE
| 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 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 73,398 | 50,253 | $8.97M |
| D0999 | Unspecified diagnostic procedure, by report | 24,934 | 16,798 | $2.16M |
| H2020 | Therapeutic behavioral services, per diem | 4,830 | 2,441 | $451K |
| D7140 | Extraction, erupted tooth or exposed root | 8,901 | 3,700 | $68K |
| D0210 | Intraoral - complete series of radiographic images | 3,604 | 2,399 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4,500 | 2,996 | $26K |
| D1110 | Prophylaxis - adult | 1,950 | 1,466 | $10K |
| D0140 | Limited oral evaluation - problem focused | 2,718 | 1,988 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 3,727 | 2,757 | $5K |
| D0330 | Panoramic radiographic image | 217 | 134 | $1K |
| 99050 | 132 | 112 | $790.93 | |
| D0120 | Periodic oral evaluation - established patient | 384 | 261 | $762.72 |
| D0274 | Bitewings - four radiographic images | 357 | 219 | $748.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 68 | 40 | $638.24 |
| D0230 | Intraoral - periapical each additional radiographic image | 305 | 106 | $273.24 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20 | 15 | $82.14 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 986 | 747 | $42.77 |
| 99051 | 31 | 13 | $40.14 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4,865 | 3,129 | $3.57 |
| 36415 | Collection of venous blood by venipuncture | 2,501 | 1,947 | $2.15 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34,327 | 24,223 | $0.01 |
| 3074F | 7,068 | 5,184 | $0.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14,620 | 11,314 | $0.00 |
| 3075F | 521 | 466 | $0.00 | |
| 1036F | 8,517 | 6,066 | $0.00 | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 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 | Most recent diastolic blood pressure < 90 mmhg | 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 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1,203 | 791 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 155 | 105 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 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 | Comprehensive metabolic panel | 112 | 77 | $0.00 |
| D1330 | 66 | 60 | $0.00 | |
| 80069 | 58 | 34 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 16 | 13 | $0.00 |
| 3044F | 15 | 12 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 129 | 106 | $0.00 |
| 0001A | 55 | 36 | $0.00 | |
| 1034F | 37 | 31 | $0.00 | |
| 90686 | 90 | 78 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 31 | 28 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 33 | 19 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 15 | 13 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1,715 | 1,431 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4,138 | 3,251 | $0.00 |
| 99382 | 62 | 56 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 1,118 | 683 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 253 | 205 | $0.00 |
| 3078F | 6,440 | 4,736 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 583 | 501 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1,456 | 790 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,515 | 1,109 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 805 | 720 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1,707 | 1,362 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 2,831 | 1,915 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 1,305 | 727 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 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 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 189 | 162 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 364 | 248 | $0.00 |
| 99173 | 512 | 405 | $0.00 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 41 | 38 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 302 | 250 | $0.00 |
| 80061 | Lipid panel | 83 | 48 | $0.00 |
| 81002 | 53 | 44 | $0.00 | |
| D1120 | Prophylaxis - child | 46 | 26 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 181 | 74 | $0.00 |
| 0002A | 77 | 65 | $0.00 | |
| 91300 | 207 | 155 | $0.00 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 142 | 110 | $0.00 |
| D1999 | 127 | 124 | $0.00 | |
| 82947 | 53 | 31 | $0.00 | |
| 0013A | 36 | 35 | $0.00 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 15 | 15 | $0.00 |
| 4004F | 13 | 13 | $0.00 |