DAVID RAINES COMMUNITY HEALTH CENTER, INC
NPI: 1891964789
· BOSSIER CITY, LA 71111
· 261QF0400X
$10.52M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,081 |
$675K |
| 2019 |
27,510 |
$1.40M |
| 2020 |
32,752 |
$1.49M |
| 2021 |
36,819 |
$1.70M |
| 2022 |
44,328 |
$1.84M |
| 2023 |
50,869 |
$1.79M |
| 2024 |
50,705 |
$1.62M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
55,977 |
43,521 |
$6.76M |
| H2020 |
Ther behav svc, per diem |
36,614 |
20,940 |
$3.36M |
| D0999 |
|
5,995 |
2,963 |
$401K |
| D0150 |
|
546 |
308 |
$936.04 |
| D0210 |
|
353 |
180 |
$833.38 |
| 90792 |
|
28,292 |
18,254 |
$332.40 |
| D1110 |
|
197 |
138 |
$189.16 |
| D7140 |
|
762 |
181 |
$155.76 |
| 90832 |
|
7,544 |
3,861 |
$42.97 |
| 99213 |
|
30,630 |
24,193 |
$41.54 |
| 3044F |
|
51 |
44 |
$40.00 |
| 99392 |
|
1,958 |
1,803 |
$0.00 |
| 3078F |
|
7,556 |
6,658 |
$0.00 |
| 99395 |
|
693 |
595 |
$0.00 |
| G0470 |
Fqhc visit, mh estab pt |
970 |
783 |
$0.00 |
| 99393 |
|
1,926 |
1,768 |
$0.00 |
| 99212 |
|
3,751 |
3,294 |
$0.00 |
| 3077F |
|
1,035 |
916 |
$0.00 |
| 99396 |
|
871 |
803 |
$0.00 |
| 91300 |
|
124 |
73 |
$0.00 |
| 99203 |
|
783 |
642 |
$0.00 |
| 87804 |
|
14 |
14 |
$0.00 |
| 99394 |
|
1,706 |
1,535 |
$0.00 |
| 90791 |
|
891 |
468 |
$0.00 |
| G8752 |
Sys bp less 140 |
2,654 |
2,340 |
$0.00 |
| 99391 |
|
904 |
837 |
$0.00 |
| 0002A |
|
17 |
16 |
$0.00 |
| 1159F |
|
2,061 |
1,796 |
$0.00 |
| D0220 |
|
216 |
121 |
$0.00 |
| 90837 |
|
472 |
322 |
$0.00 |
| 99204 |
|
57 |
55 |
$0.00 |
| G8753 |
Sys bp > or = 140 |
380 |
335 |
$0.00 |
| 99382 |
|
13 |
12 |
$0.00 |
| 3050F |
|
15 |
13 |
$0.00 |
| 99173 |
|
66 |
54 |
$0.00 |
| 4004F |
|
142 |
119 |
$0.00 |
| 80061 |
|
28 |
27 |
$0.00 |
| 0071A |
|
89 |
33 |
$0.00 |
| 87491 |
|
26 |
17 |
$0.00 |
| 99214 |
|
7,017 |
5,869 |
$0.00 |
| 3074F |
|
8,518 |
7,455 |
$0.00 |
| 3008F |
|
12,359 |
10,629 |
$0.00 |
| 90686 |
|
29 |
29 |
$0.00 |
| 3080F |
|
440 |
394 |
$0.00 |
| 3075F |
|
797 |
742 |
$0.00 |
| 3079F |
|
2,246 |
2,021 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 2001F |
|
12,164 |
10,486 |
$0.00 |
| 1111F |
|
1,062 |
972 |
$0.00 |
| 1126F |
|
1,465 |
1,213 |
$0.00 |
| 1036F |
|
10,135 |
8,762 |
$0.00 |
| 91307 |
|
184 |
75 |
$0.00 |
| G8754 |
Dias bp less 90 |
2,825 |
2,490 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
1,060 |
904 |
$0.00 |
| G8755 |
Dias bp > or = 90 |
240 |
207 |
$0.00 |
| 3048F |
|
227 |
204 |
$0.00 |
| 99202 |
|
166 |
106 |
$0.00 |
| 91301 |
|
310 |
237 |
$0.00 |
| 90834 |
|
178 |
100 |
$0.00 |
| 80053 |
|
29 |
29 |
$0.00 |
| 85025 |
|
16 |
15 |
$0.00 |
| 0011A |
|
146 |
126 |
$0.00 |
| 1034F |
|
105 |
73 |
$0.00 |
| 90847 |
|
239 |
155 |
$0.00 |
| D0140 |
|
120 |
73 |
$0.00 |
| 0012A |
|
111 |
82 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |
| 1125F |
|
146 |
124 |
$0.00 |
| 87389 |
|
20 |
12 |
$0.00 |
| 83036 |
|
15 |
15 |
$0.00 |
| D1330 |
|
67 |
34 |
$0.00 |
| 99383 |
|
18 |
16 |
$0.00 |
| 36415 |
|
49 |
49 |
$0.00 |
| 87591 |
|
26 |
17 |
$0.00 |
| 0072A |
|
30 |
15 |
$0.00 |
| 85018 |
|
18 |
13 |
$0.00 |
| 87426 |
|
14 |
14 |
$0.00 |
| D0120 |
|
15 |
15 |
$0.00 |
| 0064A |
|
43 |
20 |
$0.00 |
| D1208 |
|
12 |
12 |
$0.00 |