DAVID RAINES COMMUNITY HEALTH CENTER, INC.
NPI: 1760906630
· SHREVEPORT, LA 71106
· 261QF0400X
$1.88M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,998 |
$131K |
| 2020 |
1,435 |
$107K |
| 2021 |
3,382 |
$183K |
| 2022 |
17,115 |
$427K |
| 2023 |
14,529 |
$483K |
| 2024 |
18,463 |
$551K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
9,765 |
5,431 |
$1.36M |
| H2020 |
Ther behav svc, per diem |
4,292 |
2,072 |
$525K |
| 90832 |
|
942 |
543 |
$42.97 |
| 99213 |
|
7,693 |
4,194 |
$0.00 |
| G8754 |
Dias bp less 90 |
1,998 |
1,095 |
$0.00 |
| 3074F |
|
3,592 |
2,180 |
$0.00 |
| 3008F |
|
4,793 |
2,800 |
$0.00 |
| 2001F |
|
4,682 |
2,719 |
$0.00 |
| 1036F |
|
6,582 |
3,688 |
$0.00 |
| 99384 |
|
164 |
145 |
$0.00 |
| 3079F |
|
977 |
732 |
$0.00 |
| 1125F |
|
752 |
461 |
$0.00 |
| 3075F |
|
383 |
293 |
$0.00 |
| 1126F |
|
405 |
299 |
$0.00 |
| 99214 |
|
22 |
20 |
$0.00 |
| 1111F |
|
341 |
200 |
$0.00 |
| 3078F |
|
3,124 |
1,953 |
$0.00 |
| 90791 |
|
894 |
694 |
$0.00 |
| 90853 |
|
1,788 |
632 |
$0.00 |
| G8752 |
Sys bp less 140 |
1,947 |
1,075 |
$0.00 |
| 99394 |
|
608 |
549 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
17 |
12 |
$0.00 |
| 1159F |
|
1,002 |
604 |
$0.00 |
| 99212 |
|
118 |
89 |
$0.00 |
| 99203 |
|
24 |
18 |
$0.00 |
| 3077F |
|
17 |
12 |
$0.00 |