NPI: 1750400586 · DRY PRONG, LA 71423 · Student Health Clinic/Center · NPI assigned 03/29/2007
Authorized official WILSON, MONTE controls 20+ related entities in our dataset. Read more
| Authorized Official | WILSON, MONTE (CEO) |
| NPI Enumeration Date | 03/29/2007 |
Other providers sharing the same authorized official: WILSON, MONTE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 647 | $11K |
| 2019 | 1,178 | $19K |
| 2020 | 471 | $13K |
| 2021 | 1,644 | $41K |
| 2022 | 2,576 | $63K |
| 2023 | 1,299 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,612 | 1,302 | $55K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,520 | 991 | $45K |
| 90791 | Psychiatric diagnostic evaluation | 283 | 273 | $19K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 774 | 649 | $17K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 253 | 241 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 576 | 532 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 92 | 89 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 790 | 654 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 258 | 225 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 161 | 148 | $1K |
| 92551 | 118 | 107 | $901.43 | |
| 90834 | Psychotherapy, 45 minutes with patient | 19 | 12 | $516.56 |
| 99173 | 225 | 206 | $355.11 | |
| 82962 | 56 | 43 | $89.62 | |
| 81003 | 80 | 63 | $86.90 | |
| 85013 | 54 | 41 | $75.60 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 418 | 285 | $0.00 |
| 3078F | 65 | 62 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 14 | 13 | $0.00 |
| 90686 | 350 | 343 | $0.00 | |
| 3074F | 64 | 62 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 19 | 17 | $0.00 |
| 90651 | 14 | 13 | $0.00 |