NPI: 1558482984 · JENA, LA 71342 · Student Health Clinic/Center · NPI assigned 04/03/2007
Authorized official WILSON, MONTE controls 20+ related entities in our dataset. Read more
| Authorized Official | WILSON, MONTE (CEO) |
| NPI Enumeration Date | 04/03/2007 |
Other providers sharing the same authorized official: WILSON, MONTE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 472 | $10K |
| 2019 | 363 | $6K |
| 2020 | 255 | $3K |
| 2021 | 1,238 | $13K |
| 2022 | 1,349 | $20K |
| 2023 | 672 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 708 | 601 | $23K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,039 | 494 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 378 | 314 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 633 | 503 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 76 | 75 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 254 | 218 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 194 | 153 | $1K |
| 90791 | Psychiatric diagnostic evaluation | 17 | 16 | $998.12 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 72 | 64 | $812.57 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13 | 13 | $651.54 |
| 92551 | 82 | 81 | $651.53 | |
| 90834 | Psychotherapy, 45 minutes with patient | 19 | 13 | $539.16 |
| 99173 | 136 | 133 | $229.63 | |
| 85013 | 99 | 96 | $173.46 | |
| 82962 | 85 | 83 | $172.32 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 20 | 17 | $168.00 |
| 81003 | 86 | 84 | $117.76 | |
| 97802 | 16 | 16 | $115.62 | |
| 90715 | 56 | 46 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 124 | 94 | $0.00 |
| 3078F | 20 | 20 | $0.00 | |
| 90734 | 48 | 48 | $0.00 | |
| 90686 | 81 | 71 | $0.00 | |
| 96127 | 49 | 29 | $0.00 | |
| 3074F | 20 | 20 | $0.00 | |
| 90619 | 24 | 14 | $0.00 |