NPI: 1346977055 · SHREVEPORT, LA 71109 · Federally Qualified Health Center (FQHC) · NPI assigned 08/03/2022
Authorized official WHITE, WILLIE controls 16+ related entities in our dataset. Read more
| Authorized Official | WHITE, WILLIE (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 08/03/2022 |
Other providers sharing the same authorized official: WHITE, WILLIE
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 53 | $8K |
| 2024 | 4,199 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 720 | 490 | $116K |
| H2020 | Therapeutic behavioral services, per diem | 33 | 28 | $6K |
| 3074F | 555 | 399 | $0.00 | |
| 1036F | 570 | 417 | $0.00 | |
| 3079F | 13 | 13 | $0.00 | |
| 2001F | 575 | 407 | $0.00 | |
| 3008F | 574 | 406 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 479 | 308 | $0.00 |
| 1126F | 47 | 39 | $0.00 | |
| 3078F | 535 | 382 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12 | 12 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 77 | 65 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 20 | 16 | $0.00 |
| 1159F | 42 | 34 | $0.00 |