OUTPATIENT MEDICAL CENTER, INC.
NPI: 1285664508
· LEESVILLE, LA 71446
· Dentist
$1.74M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,394 |
$579K |
| 2019 |
12,586 |
$480K |
| 2020 |
3,925 |
$112K |
| 2021 |
3,086 |
$146K |
| 2022 |
4,952 |
$141K |
| 2023 |
2,193 |
$129K |
| 2024 |
2,440 |
$152K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
17,508 |
11,668 |
$1.49M |
| D0999 |
|
4,240 |
2,767 |
$181K |
| H2020 |
Therapeutic behavioral services, per diem |
1,149 |
321 |
$26K |
| D7140 |
|
1,481 |
788 |
$18K |
| D0150 |
|
874 |
656 |
$9K |
| D0120 |
|
473 |
356 |
$3K |
| D0274 |
|
274 |
187 |
$3K |
| D0220 |
|
960 |
740 |
$2K |
| D1110 |
|
81 |
68 |
$599.42 |
| D0230 |
|
266 |
173 |
$300.00 |
| 99213 |
|
12,782 |
8,981 |
$274.07 |
| 90791 |
|
225 |
157 |
$136.56 |
| D0272 |
|
167 |
144 |
$85.72 |
| 90834 |
|
232 |
110 |
$48.83 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
14 |
13 |
$0.00 |
| 99385 |
|
59 |
48 |
$0.00 |
| 99214 |
|
814 |
613 |
$0.00 |
| D0140 |
|
61 |
59 |
$0.00 |
| 00000 |
|
141 |
60 |
$0.00 |
| 99202 |
|
25 |
22 |
$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 |
722 |
566 |
$0.00 |
| 99386 |
|
44 |
28 |
$0.00 |
| 90471 |
|
48 |
29 |
$0.00 |
| 99443 |
|
19 |
14 |
$0.00 |
| 87426 |
|
34 |
16 |
$0.00 |
| 90832 |
|
1,021 |
240 |
$0.00 |
| 99212 |
|
1,919 |
1,214 |
$0.00 |
| 99203 |
|
782 |
610 |
$0.00 |
| 99204 |
|
52 |
48 |
$0.00 |
| 99442 |
|
58 |
40 |
$0.00 |
| D1120 |
|
25 |
25 |
$0.00 |
| 81003 |
|
26 |
12 |
$0.00 |