UNIVERSITY HEALTH SHREVEPORT LLC
NPI: 1629544622
· SHREVEPORT, LA 71103
· Certified Registered Nurse Anesthetist
· NPI assigned 10/17/2018
$350K
Total Medicaid Paid
Provider Details
| Authorized Official | MOORE, VERNON (CFO) |
| NPI Enumeration Date | 10/17/2018 |
Related Entities
Other providers sharing the same authorized official: MOORE, VERNON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
85 |
$3K |
| 2019 |
291 |
$12K |
| 2020 |
612 |
$42K |
| 2021 |
948 |
$66K |
| 2022 |
1,505 |
$88K |
| 2023 |
1,679 |
$106K |
| 2024 |
384 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00731 |
|
1,384 |
1,270 |
$112K |
| 01938 |
|
1,386 |
1,307 |
$75K |
| 00142 |
|
1,193 |
1,120 |
$60K |
| 00813 |
|
292 |
272 |
$25K |
| 01992 |
|
285 |
263 |
$21K |
| 00811 |
|
240 |
219 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
227 |
215 |
$7K |
| 00140 |
|
126 |
123 |
$7K |
| 00520 |
|
63 |
60 |
$6K |
| 01937 |
|
91 |
87 |
$6K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
38 |
33 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
50 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34 |
32 |
$2K |
| 00812 |
|
30 |
25 |
$2K |
| 01160 |
|
30 |
30 |
$2K |
| 01999 |
|
15 |
14 |
$331.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$132.30 |