ALLEGIANCE HOSPITAL OF MANY,LLC

NPI: 1275010712 · MANY, LA 71449 · Family Medicine Physician · NPI assigned 07/27/2018

$334K

Total Medicaid Paid

9,246

Total Claims

5,599

Beneficiaries

Codes Billed

2020-10

First Month

2024-12

Last Month

Provider Details

Authorized Official	BORDELON, ROCK (CEO)
Parent Organization	ALLEGIANCE HOSPITAL OF MANY LLC
NPI Enumeration Date	07/27/2018

Other providers sharing the same authorized official: BORDELON, ROCK

Provider	City	State	Total Paid
ALLEGIANCE HOSPITAL OF MANY, LLC	MANY	LA	$8.30M
ALLEGIANCE HOSPITAL OF MANY,LLC	ZWOLLE	LA	$5.17M
BIENVILLE MEDICAL CENTER INC	ARCADIA	LA	$1.66M
ALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE, LLC	GREENVILLE	MS	$1.15M
CLHG-OAKDALE LLC	OAKDALE	LA	$674K
LOUISIANA CARDIOVASCULAR ASSOCIATES, LLC	LAFAYETTE	LA	$88K
ALLEGIANCE HOSPITAL OF MANY LLC	MANY	LA	$86K
RIVER VALLEY MEDICAL CENTER FAMILY CLINIC LLC	DARDANELLE	AR	$57K
CLHG-RUSTON LLC	RUSTON	LA	$26K
ALLEGIANCE HEALTH CENTER OF RUSTON, LLC	RUSTON	LA	$285.12

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	2,374	1,453	$334K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,409	885	$693.44
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	473	310	$74.49
1126F		330	209	$0.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	630	358	$0.00
3074F		399	236	$0.00
1036F		309	169	$0.00
3008F		599	345	$0.00
1125F		271	144	$0.00
3079F		136	83	$0.00
1159F		978	598	$0.00
3078F		304	174	$0.00
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	14	12	$0.00
1160F		976	598	$0.00
3077F		44	25	$0.00