GRETNA MEDICAL CENTER LLC

NPI: 1942758289 · GRETNA, LA 70053 · Internal Medicine Physician · NPI assigned 09/15/2016

$11K

Total Medicaid Paid

442

Total Claims

281

Beneficiaries

Codes Billed

2024-07

First Month

2024-12

Last Month

Provider Details

Authorized Official	NGUYEN, HAI (MANAGER)
NPI Enumeration Date	09/15/2016

Other providers sharing the same authorized official: NGUYEN, HAI

Provider	City	State	Total Paid
HAI NAM NGUYEN, MD LLC	GRETNA	LA	$1.15M
HOUSTON NORTHWEST RADIOLOGY ASSN	HOUSTON	TX	$869K
WAVEFRONT EYECARE & OPTICAL PA	PORTLAND	TX	$561K
HAI HOANG NGUYEN MD INC	SAN JOSE	CA	$147K
FIRST HEALTH CLINIC	SAN JOSE	CA	$291.30

Year	Claims	Total Paid
2024	442	$11K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	246	162	$8K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	85	51	$2K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	16	12	$322.79
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	32	12	$273.00
36415	Collection of venous blood by venipuncture	15	14	$24.42
1036F		48	30	$0.00