Medicaid Provider Spending

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

PRO MED PROVIDERS LLC

NPI: 1972930840 · PORT ARTHUR, TX 77642 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 10/08/2013

$804K
Total Medicaid Paid
46,668
Total Claims
23,210
Beneficiaries
34
Codes Billed
2021-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSAVOIE, REGINALD (MANAGING MEMBER)
NPI Enumeration Date10/08/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 31 $64.48
2022 6,309 $178K
2023 28,191 $402K
2024 12,137 $224K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,357 4,653 $169K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 3,310 1,919 $99K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,333 2,018 $97K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,858 1,089 $86K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,782 1,076 $81K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,207 757 $53K
90460 Immunization administration through 18 years of age via any route, first or only component 6,493 1,779 $52K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,054 602 $50K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,387 1,538 $39K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,234 2,434 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 922 536 $13K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,858 755 $9K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 409 168 $7K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,045 583 $6K
97169 268 143 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 56 49 $2K
90681 680 408 $2K
90656 137 109 $1K
90461 619 429 $713.44
96160 816 428 $708.43
90620 36 27 $0.00
90619 173 91 $0.00
90697 303 190 $0.00
90651 130 67 $0.00
90696 46 26 $0.00
90698 32 13 $0.00
90723 26 26 $0.00
90670 1,055 658 $0.00
90633 475 275 $0.00
90700 30 24 $0.00
90710 368 223 $0.00
90648 70 64 $0.00
90734 28 26 $0.00
90715 71 27 $0.00