NPI: 1801433883 · GRAMERCY, LA 70052 · Federally Qualified Health Center (FQHC) · NPI assigned 12/09/2019
Authorized official WILTZ, GARY controls 13+ related entities in our dataset. Read more
| Authorized Official | WILTZ, GARY (CEO) |
| Parent Organization | TECHE ACTION BOARD, INC. |
| NPI Enumeration Date | 12/09/2019 |
Other providers sharing the same authorized official: WILTZ, GARY
| Provider | City | State | Total Paid |
|---|---|---|---|
| TECHE ACTION BOARD, INC. | HOUMA | LA | $11.09M |
| TECHE ACTION BOARD INC | FRANKLIN | LA | $8.64M |
| TECHE ACTION BOARD INC | MORGAN CITY | LA | $4.37M |
| TECHE ACTION BOARD, INC. | HOUMA | LA | $3.50M |
| TECHE ACTION BOARD, INC. | THIBODAUX | LA | $2.59M |
| TECHE ACTION BOARD, INC. | BALDWIN | LA | $1.61M |
| TECHE ACTION BOARD INC | PIERRE PART | LA | $1.50M |
| TECHE ACTION BOARD INC | RESERVE | LA | $1.05M |
| TECHE ACTION BOARD, INC. | GALLIANO | LA | $391K |
| TECHE ACTION BOARD, INC. | RESERVE | LA | $267K |
| TECHE ACTION BOARD, INC. | EDGARD | LA | $78K |
| TECHE ACTION BOARD, INC. | EDGARD | LA | $23K |
| TECHE ACTION BOARD, INC. | LA PLACE | LA | $22K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 874 | $15K |
| 2023 | 1,484 | $38K |
| 2024 | 1,211 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2020 | Therapeutic behavioral services, per diem | 1,060 | 673 | $95K |
| T1015 | Clinic visit/encounter, all-inclusive | 647 | 356 | $26K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,114 | 652 | $58.21 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 55 | 24 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 64 | 51 | $0.00 |
| 82962 | 77 | 62 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 178 | 104 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 233 | 155 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 141 | 96 | $0.00 |