NPI: 1356878169 · LEESVILLE, LA 71446 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16,270 | $367K |
| 2019 | 15,682 | $398K |
| 2020 | 2,925 | $70K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 5,891 | 4,179 | $288K | |
| 99213 | 5,073 | 4,165 | $199K | |
| 99203 | 3,164 | 2,445 | $142K | |
| 87502 | 1,758 | 1,260 | $90K | |
| 99051 | 5,284 | 3,980 | $44K | |
| 87880 | 3,084 | 1,988 | $21K | |
| 99204 | 187 | 154 | $15K | |
| 99202 | 336 | 302 | $14K | |
| 96372 | 3,166 | 2,179 | $6K | |
| 87807 | 742 | 368 | $4K | |
| 85025 | 682 | 404 | $2K | |
| 81002 | 1,556 | 1,022 | $2K | |
| 94640 | 265 | 210 | $2K | |
| 81025 | 582 | 331 | $2K | |
| J0696 | Ceftriaxone sodium injection | 712 | 564 | $1K |
| 80053 | 251 | 132 | $1K | |
| 86308 | 206 | 127 | $457.82 | |
| 87804 | 100 | 56 | $420.00 | |
| J1100 | Dexamethasone sodium phos | 1,590 | 1,181 | $412.58 |
| 86318 | 14 | 13 | $167.44 | |
| J1885 | Ketorolac tromethamine inj | 118 | 81 | $2.30 |
| J7609 | Albuterol comp unit | 116 | 83 | $0.00 |