NPI: 1225157050 · MANSURA, LA 71350 · Student Health Clinic/Center · NPI assigned 03/29/2007
Authorized official WILSON, MONTE controls 20+ related entities in our dataset. Read more
| Authorized Official | WILSON, MONTE (CEO) |
| NPI Enumeration Date | 03/29/2007 |
Other providers sharing the same authorized official: WILSON, MONTE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 690 | $8K |
| 2019 | 922 | $8K |
| 2020 | 1,143 | $20K |
| 2021 | 1,396 | $25K |
| 2022 | 1,889 | $38K |
| 2023 | 731 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,176 | 1,019 | $41K |
| 90832 | Psychotherapy, 30 minutes with patient | 639 | 500 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 649 | 580 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,045 | 937 | $14K |
| 90791 | Psychiatric diagnostic evaluation | 175 | 167 | $10K |
| 92551 | 725 | 675 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 42 | 41 | $3K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 57 | 54 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 140 | 119 | $2K |
| 99173 | 737 | 687 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13 | 13 | $921.44 |
| 90834 | Psychotherapy, 45 minutes with patient | 16 | 13 | $751.36 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14 | 12 | $646.74 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 63 | 47 | $489.87 |
| 82962 | 181 | 159 | $337.70 | |
| 81003 | 231 | 166 | $250.60 | |
| 85013 | 156 | 135 | $246.17 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 16 | 16 | $146.08 |
| 90633 | 44 | 31 | $0.00 | |
| 90686 | 635 | 600 | $0.00 | |
| 90651 | 17 | 17 | $0.00 |