Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mantecol LLC

Mantecol LLC was paid $661K by Medicaid between Oct 2020 and Aug 2024, across 15 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 28% of everything it billed.

33Billing provider infoMANTECOL LLC
HAMMOND, LA 70401
33aNPI1346880051assigned 01/10/2020
28Total paid$661K
24GClaims24,458
24DCodes billed15
24AFirst – last monthOct 2020 – Aug 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Louisiana

Rank by total paid#51 of 98
Median peer was paid$694K
This provider vs. median1.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20201,413$35K
20217,236$206K
20229,537$232K
20234,577$139K
2024incomplete1,695$49K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 28% 7,347 5,714 $188K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 4,084 3,623 $124K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18% 2,655 2,289 $116K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15% 2,128 1,894 $100K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 9.9% 940 853 $66K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7.1% 5,825 2,437 $47K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 699 630 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 395 209 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 236 176 $6K
99205 Prolong outpt/office vis <1% 15 15 $2K
0012A <1% 14 14 $444.96
87807 <1% 16 12 $128.38
3 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 17 $22.50
99000 0% 55 $0.00
91301 0% 32 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDYKES, DAVID (OWNER)