Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › BATON ROUGE › OUR LAKE OF THE LAKE HEAD AND NECK CE

OUR LAKE OF THE LAKE HEAD AND NECK CE

NPI: 1619919271 · BATON ROUGE, LA 70808 · Specialist · NPI assigned 06/11/2006

$846.74
Total Medicaid Paid
63
Total Claims
50
Beneficiaries
2
Codes Billed
2018-10
First Month
2018-11
Last Month

Provider Details

Authorized OfficialWHITE, TAMARA (DIRECTOR OF BUSINESS SERVICES)
NPI Enumeration Date06/11/2006

Related Entities

Other providers sharing the same authorized official: WHITE, TAMARA

ProviderCityStateTotal Paid
ST. FRANCIS URGENT CARE LLC MONROE LA $8.36M
ST JOSEPHS CANDLER URGENT CARE CENTERS LLC SAVANNAH GA $674K
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC BATON ROUGE LA $42K
OUR LADY OF THE LAKE HOSPITAL INC BATON ROUGE LA $31K
PREMIER MEDICAL CNTR OF HUMACAO LLC HUMACAO PR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63 $846.74

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 45 36 $499.80
90472 Immunization administration, each additional vaccine (list separately) 18 14 $346.94