Medicaid Provider Spending

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

WK PINES ROAD FAMILY MEDICINE

NPI: 1629210042 · SHREVEPORT, LA 71129 · Family Medicine Physician · NPI assigned 03/31/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GAVIN, GREG controls 18+ related entities in our dataset. Read more

$7K
Total Medicaid Paid
858
Total Claims
701
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGAVIN, GREG (NETWORK ADMINISTRATOR)
NPI Enumeration Date03/31/2009

Related Entities

Other providers sharing the same authorized official: GAVIN, GREG

ProviderCityStateTotal Paid
WILLIS KNIGHTON MEDICAL CENTER & M R MANCHANDIA BOSSIER CITY LA $2.13M
D GREGORY BELL MD AND WILLIS-KNIGHTON MEDICAL CENTER COUSHATTA LA $1.87M
WK PIERREMONT HOSPITALISTS SHREVEPORT LA $1.84M
WK TRI-STATE MEDICAL CLINIC SHREVEPORT LA $1.61M
WK PIERREMONT ENT SHREVEPORT LA $411K
WK ORTHOPEDIC CLINIC SHREVEPORT LA $146K
WK MOLLER CASSIERE CLINIC SHREVEPORT LA $53K
INDIRA SASTRY AND WILLIS-KNIGHTON SHREVEPORT LA $35K
WK PIERREMONT OB-GYN SPECIALISTS SHREVEPORT LA $33K
WK GASTROENTEROLOGY ASSOCIATES SHREVEPORT LA $21K
WK RIVER CITIES INTERVENTIONAL PAIN SHREVEPORT LA $16K
WK SIGNATURE UROLOGY CLINIC SHREVEPORT LA $15K
FAMILY MEDICAL CENTER SHREVEPORT LA $14K
WK LOUISIANA FAMILY PRACTICE BOSSIER CITY LA $11K
WK PINNACLE GASTROENTEROLOGY SHREVEPORT LA $2K
WK BOSSIER OB-GYN BOSSIER CITY LA $1K
WK NORTH SHREVEPORT FAMILY MEDICINE SHREVEPORT LA $274.08
WK HAUGHTON MEDICAL GROUP BOSSIER CITY LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 225 $2K
2019 291 $1K
2020 133 $2K
2021 149 $1K
2022 48 $266.08
2024 12 $872.54

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 522 420 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $872.54
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51 38 $748.05
71046 Radiologic examination, chest; 2 views 39 37 $273.06
99215 Prolong outpt/office vis 28 24 $186.32
36415 Collection of venous blood by venipuncture 175 141 $43.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 31 29 $0.00