PINE LAKE BEHAVIORAL HEALTH, LLC.
NPI: 1003310061
· LINCOLN, NE 68526
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 03/22/2018
$973K
Total Medicaid Paid
Provider Details
| Authorized Official | RAY, JARED (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 03/22/2018 |
Related Entities
Other providers sharing the same authorized official: RAY, JARED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
197 |
$13K |
| 2019 |
284 |
$18K |
| 2020 |
303 |
$22K |
| 2021 |
1,331 |
$97K |
| 2022 |
1,941 |
$148K |
| 2023 |
3,493 |
$366K |
| 2024 |
2,998 |
$309K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
2,247 |
1,345 |
$248K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,191 |
1,274 |
$246K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,314 |
3,088 |
$246K |
| 90836 |
|
1,963 |
1,834 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
249 |
233 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
96 |
93 |
$13K |
| 96137 |
|
39 |
38 |
$11K |
| 99215 |
Prolong outpt/office vis |
109 |
94 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
44 |
44 |
$10K |
| 96131 |
|
39 |
38 |
$10K |
| 96130 |
|
39 |
38 |
$7K |
| 90838 |
|
69 |
67 |
$6K |
| 96136 |
|
39 |
38 |
$4K |
| 99205 |
Prolong outpt/office vis |
28 |
26 |
$3K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
81 |
50 |
$2K |