NPI: 1497357156 · RAYVILLE, LA 71269 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 7,251 | $163K |
| 2022 | 15,881 | $280K |
| 2023 | 16,385 | $260K |
| 2024 | 12,261 | $201K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 12,875 | 9,761 | $385K | |
| 99214 | 5,419 | 4,248 | $227K | |
| 87426 | 2,030 | 1,411 | $45K | |
| 99203 | 828 | 729 | $37K | |
| 87635 | 1,079 | 862 | $36K | |
| 99391 | 570 | 479 | $32K | |
| 99392 | 439 | 406 | $29K | |
| 87880 | 3,665 | 2,403 | $25K | |
| 96372 | 7,817 | 5,052 | $16K | |
| 87804 | 2,937 | 760 | $15K | |
| 90471 | 1,250 | 1,029 | $15K | |
| 90472 | 783 | 635 | $10K | |
| 96110 | 1,178 | 1,020 | $9K | |
| J0696 | Ceftriaxone sodium injection | 3,645 | 3,039 | $5K |
| 99393 | 42 | 41 | $3K | |
| 86328 | 150 | 62 | $3K | |
| 92551 | 302 | 296 | $2K | |
| 99204 | 35 | 30 | $2K | |
| 86318 | 354 | 201 | $2K | |
| 81002 | 682 | 581 | $1K | |
| J1100 | Dexamethasone sodium phos | 3,385 | 2,847 | $1K |
| 85018 | 577 | 518 | $963.22 | |
| 99202 | 26 | 22 | $800.72 | |
| 90686 | 117 | 102 | $675.99 | |
| 99212 | 30 | 27 | $643.43 | |
| 99173 | 351 | 315 | $481.16 | |
| 90474 | 78 | 62 | $474.76 | |
| 87807 | 60 | 36 | $395.05 | |
| J1885 | Ketorolac tromethamine inj | 524 | 377 | $48.67 |
| 83036 | 12 | 12 | $46.38 | |
| 94760 | 47 | 25 | $7.59 | |
| 90671 | 141 | 104 | $1.17 | |
| 90633 | 50 | 38 | $0.07 | |
| 90677 | 29 | 18 | $0.04 | |
| 90647 | 18 | 13 | $0.02 | |
| 90670 | 136 | 106 | $0.00 | |
| 90710 | 14 | 12 | $0.00 | |
| 90648 | 30 | 27 | $0.00 | |
| 90681 | 15 | 13 | $0.00 | |
| 90680 | 43 | 37 | $0.00 | |
| 90696 | 15 | 12 | $0.00 |