Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MCNEESE STATE UNIVERSITY

NPI: 1750863957 · LAKE CHARLES, LA 70607 · Family Medicine Physician · NPI assigned 09/04/2018

$6K
Total Medicaid Paid
1,157
Total Claims
120
Beneficiaries
4
Codes Billed
2021-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialBASS, MOUZON (ADMINISTRATOR/AGENT)
NPI Enumeration Date09/04/2018

Related Entities

Other providers sharing the same authorized official: BASS, MOUZON

ProviderCityStateTotal Paid
VIRGINIA UNION UNIVERSITY RICHMOND VA $7K
OTTAWA UNIVERSITY SURPRIZE AZ $257.60
MONROE COLLEGE NEW ROCHELLE NY $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,157 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 626 54 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 313 42 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 60 12 $439.20
99072 158 12 $0.00