PEDIATRIC PROVIDERS OF LOUISIANA
NPI: 1548494578
· SHREVEPORT, LA 71109
· Health Service Clinic/Center
· NPI assigned 05/05/2009
$588K
Total Medicaid Paid
Provider Details
| Authorized Official | ROUSSEAU, JEAN (PRESIDENT) |
| NPI Enumeration Date | 05/05/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,251 |
$246K |
| 2019 |
4,992 |
$237K |
| 2020 |
2,501 |
$105K |
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 |
8,223 |
7,661 |
$427K |
| 99205 |
Prolong outpt/office vis |
1,106 |
1,053 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,092 |
1,018 |
$40K |
| 99215 |
Prolong outpt/office vis |
56 |
50 |
$4K |
| 81003 |
|
952 |
846 |
$860.30 |
| 81005 |
|
1,117 |
1,019 |
$758.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
28 |
$647.49 |
| 81025 |
|
168 |
158 |
$580.52 |