NPI: 1972770378 · RAYVILLE, LA 71269 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 5,492 | $8K |
| 2022 | 1,867 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 1,811 | 1,017 | $5K | |
| 99213 | 524 | 321 | $3K | |
| 87636 | 119 | 78 | $2K | |
| 96372 | 1,025 | 494 | $582.73 | |
| 87804 | 112 | 35 | $249.47 | |
| 71046 | 110 | 64 | $159.12 | |
| 85025 | 230 | 163 | $134.13 | |
| 99215 | Prolong outpt/office vis | 60 | 37 | $133.61 |
| 96360 | 21 | 13 | $69.37 | |
| 82962 | 978 | 517 | $54.00 | |
| 72100 | 80 | 33 | $48.98 | |
| 36415 | 683 | 410 | $44.29 | |
| J0696 | Ceftriaxone sodium injection | 327 | 146 | $35.33 |
| 90471 | 38 | 20 | $24.00 | |
| J1885 | Ketorolac tromethamine inj | 424 | 240 | $19.63 |
| 81002 | 51 | 28 | $12.70 | |
| J7030 | Normal saline solution infus | 21 | 13 | $6.03 |
| J1100 | Dexamethasone sodium phos | 555 | 305 | $4.48 |
| 90662 | 62 | 32 | $0.00 | |
| G2212 | Prolong outpt/office vis | 21 | 13 | $0.00 |
| G0008 | Admin influenza virus vac | 58 | 39 | $0.00 |
| 84443 | 19 | 15 | $0.00 | |
| 82950 | 30 | 19 | $0.00 |