Medicaid Provider Spending

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

WINNIE COMMUNITY HOSPITAL LLC

NPI: 1558836247 · PORT ARTHUR, TX 77642 · Radiology Clinic/Center · NPI assigned 10/09/2018

$9K
Total Medicaid Paid
321
Total Claims
303
Beneficiaries
4
Codes Billed
2020-11
First Month
2022-12
Last Month

Provider Details

Authorized OfficialCOOK, LORRIE (CONTRACT MANAGER/CREDENTIALING)
Parent OrganizationWINNIE COMMUNITY HOSPITAL LLC
NPI Enumeration Date10/09/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 24 $0.00
2021 114 $3K
2022 183 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 132 124 $6K
77063 Screening digital breast tomosynthesis, bilateral 131 123 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 29 27 $1K
93975 29 29 $421.28