DAVID RAINES COMMUNITY HEALTH CENTER, INC.
NPI: 1982379335
· SHREVEPORT, LA 71129
· 261QF0400X
$1.57M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
349 |
$22K |
| 2022 |
16,622 |
$466K |
| 2023 |
17,295 |
$541K |
| 2024 |
19,026 |
$540K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
8,134 |
5,515 |
$1.23M |
| H2020 |
Ther behav svc, per diem |
2,452 |
1,780 |
$344K |
| 2001F |
|
5,413 |
3,837 |
$0.00 |
| 1036F |
|
6,114 |
4,470 |
$0.00 |
| 3074F |
|
5,336 |
3,811 |
$0.00 |
| 99214 |
|
110 |
104 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 3008F |
|
5,414 |
3,838 |
$0.00 |
| G8754 |
Dias bp less 90 |
2,092 |
1,477 |
$0.00 |
| 99213 |
|
6,418 |
4,383 |
$0.00 |
| 1126F |
|
215 |
194 |
$0.00 |
| 1111F |
|
86 |
79 |
$0.00 |
| 1125F |
|
555 |
427 |
$0.00 |
| 99384 |
|
19 |
19 |
$0.00 |
| 90832 |
|
923 |
686 |
$0.00 |
| G8752 |
Sys bp less 140 |
2,088 |
1,475 |
$0.00 |
| 3078F |
|
5,278 |
3,777 |
$0.00 |
| 90791 |
|
886 |
746 |
$0.00 |
| 99203 |
|
425 |
390 |
$0.00 |
| 90853 |
|
412 |
348 |
$0.00 |
| 99394 |
|
54 |
51 |
$0.00 |
| 99393 |
|
163 |
159 |
$0.00 |
| 99212 |
|
26 |
21 |
$0.00 |
| 1159F |
|
667 |
536 |
$0.00 |