Medicaid Provider Spending

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

SR BOSSIER LLC

NPI: 1821722240 · BOSSIER CITY, LA 71111 · 1223G0001X

$4K

Total Medicaid Paid

93

Total Claims

92

Beneficiaries

4

Codes Billed

2024-02

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2024	93	$4K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D1110		24	24	$1K
D1208		42	42	$1K
D0150		13	12	$641.30
D0272		14	14	$406.14