DAVID RAINES COMMUNITY HEALTH CENTER, INC.
NPI: 1760904981
· SHREVEPORT, LA 71106
· 261QF0400X
$2.48M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
374 |
$2K |
| 2019 |
7,249 |
$284K |
| 2020 |
4,500 |
$200K |
| 2021 |
9,877 |
$409K |
| 2022 |
19,921 |
$554K |
| 2023 |
17,604 |
$530K |
| 2024 |
17,381 |
$502K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
16,131 |
10,296 |
$1.92M |
| H2020 |
Ther behav svc, per diem |
7,768 |
3,732 |
$557K |
| 90832 |
|
522 |
330 |
$51.57 |
| 90853 |
|
5,274 |
2,409 |
$6.09 |
| 99212 |
|
363 |
203 |
$0.00 |
| 90791 |
|
1,417 |
827 |
$0.00 |
| 3078F |
|
4,502 |
3,410 |
$0.00 |
| 99394 |
|
442 |
354 |
$0.00 |
| G8752 |
Sys bp less 140 |
1,914 |
1,369 |
$0.00 |
| 99393 |
|
677 |
563 |
$0.00 |
| 99203 |
|
169 |
133 |
$0.00 |
| 1159F |
|
840 |
652 |
$0.00 |
| 87880 |
|
43 |
36 |
$0.00 |
| 87804 |
|
24 |
24 |
$0.00 |
| 99173 |
|
20 |
15 |
$0.00 |
| 99213 |
|
12,266 |
8,070 |
$0.00 |
| 1036F |
|
6,207 |
4,338 |
$0.00 |
| 1111F |
|
483 |
388 |
$0.00 |
| 3008F |
|
5,277 |
3,886 |
$0.00 |
| 2001F |
|
5,086 |
3,779 |
$0.00 |
| 3074F |
|
4,676 |
3,531 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,910 |
1,368 |
$0.00 |
| 92551 |
|
19 |
14 |
$0.00 |
| 99214 |
|
35 |
29 |
$0.00 |
| 1125F |
|
458 |
370 |
$0.00 |
| 3079F |
|
140 |
122 |
$0.00 |
| 1126F |
|
194 |
179 |
$0.00 |
| 87426 |
|
49 |
46 |
$0.00 |