PEDIATRUST LAKE CHARLES, LLC
NPI: 1518359165
· LAKE CHARLES, LA 70607
· Exclusive Provider Organization
· NPI assigned 02/19/2015
$12.63M
Total Medicaid Paid
Provider Details
| Authorized Official | CRAIG, LEANN (OWNER) |
| NPI Enumeration Date | 02/19/2015 |
Related Entities
Other providers sharing the same authorized official: CRAIG, LEANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
41,781 |
$1.69M |
| 2019 |
21,457 |
$1.92M |
| 2020 |
5,749 |
$1.07M |
| 2021 |
12,228 |
$1.18M |
| 2022 |
16,036 |
$2.03M |
| 2023 |
11,991 |
$2.58M |
| 2024 |
11,522 |
$2.16M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
84,256 |
2,707 |
$11.23M |
| T2002 |
Non-emergency transportation; per diem |
26,856 |
1,809 |
$762K |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
9,652 |
1,471 |
$634K |