INDEPENDENCE MEDICAL CLINIC, LLC
NPI: 1669897609
· INDEPENDENCE, LA 70443
· 208D00000X
$300K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,678 |
$206K |
| 2019 |
3,743 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
|
2,622 |
2,177 |
$103K |
| 99213 |
|
1,855 |
1,537 |
$51K |
| 93306 |
|
270 |
222 |
$31K |
| 87633 |
|
95 |
66 |
$23K |
| 99214 |
|
502 |
427 |
$19K |
| 94060 |
|
560 |
463 |
$12K |
| 80050 |
|
496 |
398 |
$10K |
| 20610 |
|
283 |
150 |
$7K |
| 80061 |
|
784 |
639 |
$5K |
| 93000 |
|
566 |
447 |
$5K |
| 97032 |
|
299 |
241 |
$4K |
| 87798 |
|
105 |
40 |
$3K |
| 99212 |
|
159 |
152 |
$3K |
| 64450 |
|
98 |
51 |
$3K |
| 86703 |
|
315 |
241 |
$2K |
| H0033 |
Oral med adm direct observe |
172 |
139 |
$2K |
| 82043 |
|
591 |
480 |
$2K |
| 99396 |
|
47 |
29 |
$2K |
| 84443 |
|
711 |
543 |
$2K |
| 87502 |
|
40 |
31 |
$2K |
| 82570 |
|
612 |
492 |
$1K |
| 80053 |
|
252 |
232 |
$1K |
| 82962 |
|
769 |
636 |
$1K |
| 99395 |
|
17 |
14 |
$933.10 |
| 87651 |
|
46 |
35 |
$806.19 |
| 96372 |
|
416 |
313 |
$800.53 |
| 85025 |
|
147 |
128 |
$472.92 |
| 99203 |
|
17 |
14 |
$385.52 |
| 73564 |
|
22 |
13 |
$372.52 |
| G0179 |
Md recertification hha pt |
19 |
17 |
$365.13 |
| 94010 |
|
22 |
19 |
$278.44 |
| 81003 |
|
908 |
655 |
$239.14 |
| 72100 |
|
16 |
14 |
$237.97 |
| 71046 |
|
14 |
14 |
$234.30 |
| 20552 |
|
24 |
13 |
$199.25 |
| G0444 |
Depression screen annual |
40 |
34 |
$171.50 |
| 90656 |
|
17 |
12 |
$134.75 |
| 99050 |
|
18 |
15 |
$120.42 |
| 86701 |
|
28 |
26 |
$120.21 |
| 86318 |
|
17 |
14 |
$115.92 |
| 83036 |
|
15 |
13 |
$86.94 |
| 99408 |
|
86 |
72 |
$50.00 |
| 84436 |
|
14 |
14 |
$48.10 |
| 83540 |
|
18 |
12 |
$38.43 |
| J1100 |
Dexamethasone sodium phos |
78 |
61 |
$8.46 |
| J1885 |
Ketorolac tromethamine inj |
102 |
73 |
$5.41 |
| J3420 |
Vitamin b12 injection |
49 |
41 |
$1.17 |
| J3490 |
Drugs unclassified injection |
18 |
14 |
$0.00 |
| S0020 |
Injection, bupivicaine hydro |
19 |
15 |
$0.00 |
| J2800 |
Methocarbamol injection |
16 |
12 |
$0.00 |
| J0702 |
Betamethasone acet&sod phosp |
15 |
13 |
$0.00 |