PELICAN MEDICAL, WELLNESS, AND COSMETIC CENTER
NPI: 1356997399
· GONZALES, LA 70737
· Primary Care Clinic/Center
· NPI assigned 08/15/2019
$148K
Total Medicaid Paid
Provider Details
| Authorized Official | LEMOINE, SARAH (OWNER) |
| NPI Enumeration Date | 08/15/2019 |
Related Entities
Other providers sharing the same authorized official: LEMOINE, SARAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$849.75 |
| 2020 |
576 |
$22K |
| 2021 |
1,240 |
$32K |
| 2022 |
1,660 |
$44K |
| 2023 |
2,439 |
$36K |
| 2024 |
1,077 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,733 |
2,322 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
863 |
623 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
59 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
87 |
66 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
99 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
896 |
694 |
$1K |
| 81003 |
|
338 |
227 |
$244.36 |
| 96127 |
|
234 |
164 |
$189.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
14 |
$41.50 |
| 94760 |
|
51 |
42 |
$4.38 |
| 3511F |
|
60 |
51 |
$0.00 |
| 4004F |
|
171 |
133 |
$0.00 |
| 1220F |
|
43 |
27 |
$0.00 |
| 3512F |
|
55 |
46 |
$0.00 |
| 3008F |
|
201 |
165 |
$0.00 |
| 3514F |
|
55 |
46 |
$0.00 |