BREATHEAMERICA SHREVEPORT INC
NPI: 1700138781
· SHREVEPORT, LA 71106
· Allergy & Immunology Physician
· NPI assigned 10/15/2012
$247K
Total Medicaid Paid
Provider Details
| Authorized Official | MILLER, TIMOTHY (VP MANAGED CARE) |
| Parent Organization | BREATHEAMERICA INC |
| NPI Enumeration Date | 10/15/2012 |
Related Entities
Other providers sharing the same authorized official: MILLER, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,832 |
$182K |
| 2019 |
1,393 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
533 |
485 |
$73K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,139 |
1,062 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
444 |
412 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
402 |
369 |
$16K |
| 94375 |
|
570 |
532 |
$13K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
66 |
60 |
$12K |
| 95117 |
|
1,189 |
573 |
$9K |
| 95012 |
|
690 |
629 |
$8K |
| 95024 |
|
116 |
112 |
$5K |
| 94060 |
|
63 |
54 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$1K |