PRIMARY HEALTH SERVICES CENTER
NPI: 1659827996
· GRAMBLING, LA 71245
· 261QF0400X
$2.90M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,008 |
$357K |
| 2019 |
11,003 |
$513K |
| 2020 |
11,634 |
$594K |
| 2021 |
14,999 |
$482K |
| 2022 |
14,101 |
$385K |
| 2023 |
9,350 |
$324K |
| 2024 |
5,075 |
$243K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
24,276 |
15,057 |
$2.71M |
| H2020 |
Ther behav svc, per diem |
1,733 |
588 |
$162K |
| D7140 |
|
116 |
64 |
$7K |
| D0150 |
|
171 |
126 |
$6K |
| D0330 |
|
119 |
100 |
$6K |
| D0140 |
|
97 |
55 |
$2K |
| D1110 |
|
61 |
42 |
$2K |
| D0272 |
|
123 |
97 |
$662.60 |
| D0220 |
|
94 |
52 |
$637.91 |
| 99213 |
|
16,517 |
11,493 |
$421.97 |
| 3074F |
|
2,717 |
2,067 |
$245.00 |
| 3078F |
|
2,019 |
1,591 |
$180.00 |
| 3079F |
|
1,625 |
1,293 |
$165.00 |
| 98960 |
|
97 |
35 |
$108.00 |
| 3075F |
|
593 |
517 |
$95.00 |
| 3077F |
|
533 |
425 |
$40.00 |
| 3080F |
|
317 |
245 |
$20.00 |
| J0696 |
Ceftriaxone sodium injection |
834 |
698 |
$1.12 |
| 3008F |
|
7,787 |
5,522 |
$0.00 |
| 87426 |
|
616 |
436 |
$0.00 |
| 99214 |
|
270 |
226 |
$0.00 |
| D0999 |
|
2,030 |
948 |
$0.00 |
| 96372 |
|
654 |
475 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
387 |
324 |
$0.00 |
| J1094 |
Inj dexamethasone acetate |
123 |
103 |
$0.00 |
| 90847 |
|
18 |
12 |
$0.00 |
| 85018 |
|
39 |
34 |
$0.00 |
| 92551 |
|
54 |
44 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
105 |
68 |
$0.00 |
| 83036 |
|
15 |
13 |
$0.00 |
| 82962 |
|
37 |
32 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
14 |
14 |
$0.00 |
| 81025 |
|
1,311 |
1,084 |
$0.00 |
| 81002 |
|
511 |
439 |
$0.00 |
| 99203 |
|
575 |
521 |
$0.00 |
| 82948 |
|
294 |
212 |
$0.00 |
| 90832 |
|
4,250 |
1,235 |
$0.00 |
| 99212 |
|
2,737 |
2,152 |
$0.00 |
| J7637 |
Dexamethasone comp con |
30 |
28 |
$0.00 |
| 99173 |
|
177 |
137 |
$0.00 |
| 87804 |
|
64 |
51 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
15 |
14 |
$0.00 |
| D0274 |
|
15 |
13 |
$0.00 |