ST JUDE MEDICAL GROUP LLC
NPI: 1396086211
· LAKE CHARLES, LA 70605
· 207Q00000X
$387K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,175 |
$59K |
| 2019 |
2,768 |
$65K |
| 2020 |
2,133 |
$54K |
| 2021 |
2,223 |
$56K |
| 2022 |
1,559 |
$51K |
| 2023 |
2,013 |
$57K |
| 2024 |
1,498 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,776 |
4,753 |
$226K |
| 99213 |
|
4,850 |
4,192 |
$145K |
| 90688 |
|
436 |
382 |
$5K |
| 90471 |
|
296 |
264 |
$4K |
| 96372 |
|
1,429 |
1,015 |
$3K |
| 36415 |
|
1,072 |
949 |
$2K |
| 99395 |
|
16 |
13 |
$802.84 |
| 99215 |
Prolong outpt/office vis |
25 |
14 |
$764.37 |
| 82962 |
|
163 |
143 |
$265.12 |
| J0696 |
Ceftriaxone sodium injection |
100 |
87 |
$156.95 |
| J1100 |
Dexamethasone sodium phos |
42 |
39 |
$28.47 |
| 81002 |
|
14 |
12 |
$27.94 |
| J1885 |
Ketorolac tromethamine inj |
89 |
69 |
$8.48 |
| G0008 |
Admin influenza virus vac |
61 |
54 |
$0.00 |