Medicaid Provider Spending

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

SHALOM CLINIC FOR CHILDREN APMC

NPI: 1760545867 · NATCHITOCHES, LA 71457 · Pediatrics Physician · NPI assigned 12/19/2006

$1.82M
Total Medicaid Paid
72,925
Total Claims
52,248
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialADELEYE, OLUSEGUN (PRESIDENT)
NPI Enumeration Date12/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,001 $318K
2019 10,954 $282K
2020 9,586 $231K
2021 11,943 $277K
2022 9,595 $256K
2023 10,757 $228K
2024 8,089 $228K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,155 9,864 $491K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,602 2,739 $208K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,624 2,975 $206K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,749 2,940 $205K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,331 2,824 $183K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,007 2,164 $149K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,484 4,909 $138K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,073 6,208 $90K
90472 Immunization administration, each additional vaccine (list separately) 4,789 3,889 $64K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4,005 1,857 $55K
99238 Hospital discharge day management, 30 minutes or less 175 153 $8K
99460 197 165 $7K
90474 819 717 $6K
99381 107 79 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 348 149 $4K
99462 114 78 $2K
99205 Prolong outpt/office vis 51 14 $645.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 60 38 $442.38
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 287 73 $304.98
90633 2,122 1,604 $0.01
90647 1,991 1,653 $0.01
90670 2,604 2,219 $0.00
90734 963 725 $0.00
90649 358 287 $0.00
90707 68 59 $0.00
90715 144 117 $0.00
90710 1,092 803 $0.00
90681 411 325 $0.00
90700 100 98 $0.00
90658 39 31 $0.00
90723 1,722 1,464 $0.00
90686 858 621 $0.00
90698 81 75 $0.00
90680 114 107 $0.00
90696 172 141 $0.00
90716 59 55 $0.00
90656 50 29 $0.00