Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH LOUISIANA PRIMARY CARE LLC

NPI: 1447705074 · BAKER, LA 70714 · Primary Care Clinic/Center · NPI assigned 08/24/2016

$599K
Total Medicaid Paid
35,059
Total Claims
13,201
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOGUE, DUSTIN (OWNER)
NPI Enumeration Date08/24/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,270 $23K
2019 7,725 $51K
2020 9,746 $62K
2021 5,039 $68K
2022 16 $504.95
2023 4,953 $230K
2024 5,310 $165K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,681 7,995 $402K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,068 2,937 $107K
99215 Prolong outpt/office vis 2,789 731 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 855 341 $29K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 375 185 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 168 142 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 83 76 $2K
90688 129 122 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 36 18 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 126 119 $1K
99384 16 16 $1K
99490 Ccm add 20min 63 61 $64.62
3077F 320 86 $0.32
3079F 212 59 $0.32
3075F 176 43 $0.27
3074F 295 80 $0.25
3078F 283 77 $0.24
3080F 226 60 $0.19
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 158 53 $0.00