NPI: 1669491288 · VIDALIA, LA 71373 · 207X00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 939 | $35K |
| 2019 | 1,298 | $43K |
| 2020 | 3,111 | $162K |
| 2021 | 3,228 | $174K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 80307 | 2,156 | 2,054 | $124K | |
| 99213 | 2,106 | 1,966 | $81K | |
| L0648 | Lso sag r an/pos pnl pre ots | 47 | 45 | $48K |
| 99214 | 741 | 703 | $43K | |
| 72110 | 962 | 932 | $30K | |
| 99203 | 476 | 462 | $27K | |
| 99204 | 194 | 192 | $17K | |
| 72170 | 806 | 781 | $13K | |
| 99212 | 283 | 272 | $7K | |
| 20611 | 87 | 84 | $5K | |
| 72040 | 188 | 181 | $4K | |
| 72052 | 93 | 92 | $4K | |
| 62323 | 28 | 17 | $3K | |
| 73030 | 158 | 145 | $3K | |
| 99205 | Prolong outpt/office vis | 13 | 13 | $2K |
| G0481 | Drug test def 8-14 classes | 26 | 24 | $1K |
| 73502 | 35 | 24 | $740.22 | |
| 99202 | 12 | 12 | $521.80 | |
| 73564 | 14 | 14 | $342.86 | |
| 73562 | 14 | 14 | $280.28 | |
| 73565 | 14 | 14 | $263.51 | |
| J1030 | Methylprednisolone 40 mg inj | 123 | 111 | $0.00 |