PELICAN PRIMARY CARE LLC
NPI: 1730633926
· METAIRIE, LA 70006
· 163WA0400X
$671K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
552 |
$15K |
| 2019 |
965 |
$23K |
| 2020 |
3,435 |
$42K |
| 2021 |
6,543 |
$82K |
| 2022 |
9,644 |
$163K |
| 2023 |
13,682 |
$194K |
| 2024 |
8,359 |
$151K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
8,944 |
5,967 |
$312K |
| 80307 |
|
7,859 |
5,076 |
$245K |
| 99213 |
|
1,544 |
1,167 |
$40K |
| 80305 |
|
2,949 |
1,941 |
$18K |
| 99205 |
Prolong outpt/office vis |
254 |
153 |
$14K |
| 96372 |
|
10,032 |
6,167 |
$13K |
| 81025 |
|
2,706 |
1,809 |
$10K |
| 99204 |
|
89 |
74 |
$5K |
| Q9992 |
Buprenorphine xr over 100 mg |
4,627 |
2,758 |
$5K |
| 99215 |
Prolong outpt/office vis |
40 |
29 |
$2K |
| 99406 |
|
969 |
625 |
$2K |
| Q9991 |
Buprenorph xr 100 mg or less |
1,451 |
942 |
$1K |
| 99407 |
|
83 |
69 |
$1K |
| 99203 |
|
36 |
14 |
$746.10 |
| 99408 |
|
23 |
22 |
$312.42 |
| 99212 |
|
19 |
13 |
$250.25 |
| 36415 |
|
88 |
60 |
$44.29 |
| J2315 |
Naltrexone, depot form |
564 |
377 |
$0.27 |
| 99072 |
|
903 |
674 |
$0.00 |