VASCULAR ACCESS CENTER OF NORTH SHORE LOUISIANA
NPI: 1588993679
· COVINGTON, LA 70433
· Vascular Surgery Physician
· NPI assigned 12/18/2009
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | CREWS, RAE (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 12/18/2009 |
Related Entities
Other providers sharing the same authorized official: CREWS, RAE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,335 |
$35K |
| 2019 |
1,770 |
$45K |
| 2020 |
795 |
$28K |
| 2021 |
27 |
$808.52 |
| 2023 |
16 |
$297.90 |
| 2024 |
14 |
$332.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36902 |
|
495 |
455 |
$78K |
| 93990 |
|
331 |
259 |
$11K |
| 93925 |
|
72 |
54 |
$7K |
| 36907 |
|
48 |
39 |
$5K |
| 93970 |
|
35 |
29 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
49 |
$2K |
| 36901 |
|
15 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
12 |
$686.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
26 |
$446.88 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$332.20 |
| 99152 |
|
861 |
669 |
$143.46 |
| 99153 |
Mod sedat endo service >5yrs |
257 |
197 |
$39.67 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,738 |
770 |
$18.70 |