1530 BROAD AVENUE OPERATIONS, LLC
NPI: 1306593900
· GULFPORT, MS 39501
· 314000000X
$104K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
9,215 |
$27K |
| 2023 |
7,798 |
$47K |
| 2024 |
3,744 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
9,152 |
514 |
$55K |
| 97110 |
|
5,465 |
468 |
$25K |
| 97112 |
|
2,515 |
325 |
$12K |
| 97535 |
|
2,078 |
257 |
$9K |
| 97150 |
|
1,547 |
282 |
$3K |