NPI: 1013416585 · SAINT LOUIS, MO 63129 · Social Worker · NPI assigned 02/09/2018
Authorized official GODFREY, ANDREA controls 18+ related entities in our dataset. Read more
| Authorized Official | GODFREY, ANDREA (CREDENTIALING & ENROLLMENT MANAGER) |
| NPI Enumeration Date | 02/09/2018 |
Other providers sharing the same authorized official: GODFREY, ANDREA
| Provider | City | State | Total Paid |
|---|---|---|---|
| MEDITELECARE OF NEW MEXICO, LLC | ESPANOLA | NM | $1.05M |
| MEDITELECARE OF WEST VIRGINIA PLLC | CHARLESTON | WV | $944K |
| MEDITELECARE OF VIRGINIA, LLC | GLEN ALLEN | VA | $835K |
| MEDOPTIONS OF NEW HAMPSHIRE LLC | CONCORD | NH | $448K |
| MEDITELECARE OF PENNSYLVANIA LLC | HARRISBURG | PA | $430K |
| MEDITELECARE OF NEW JERSEY LLC | EWING | NJ | $389K |
| MEDOPTIONS OF KENTUCKY LLC | FRANKFORT | KY | $360K |
| MEDITELECARE OF MASSACHUSETTS, PLLC | BOSTON | MA | $359K |
| MEDOPTIONS OF VERMONT LLC | BARRE | VT | $268K |
| MEDITELECARE OF IOWA PLLC | DES MOINES | IA | $227K |
| MEDOPTIONS OF OHIO LLC | COLUMBUS | OH | $205K |
| MEDOPTIONS OF MAINE, LLC | AUGUSTA | ME | $196K |
| MEDITELECARE OF KANSAS LLC | TOPEKA | KS | $110K |
| MEDITELECARE OF MARYLAND LLC | BALTIMORE | MD | $103K |
| MEDITELECARE OF TEXAS PLLC | DALLAS | TX | $76K |
| MEDITELECARE OF COLORADO LLC | LITTLETON | CO | $76K |
| MEDITELECARE OF RHODE ISLAND LLC | WARWICK | RI | $3K |
| BLUEWATERS COUNSELING AND COACHING | DOTHAN | AL | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 743 | $311.80 |
| 2020 | 1,073 | $5K |
| 2021 | 676 | $4K |
| 2022 | 838 | $14K |
| 2023 | 2,285 | $41K |
| 2024 | 1,600 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,338 | 2,258 | $59K |
| 90832 | Psychotherapy, 30 minutes with patient | 1,308 | 661 | $16K |
| 99484 | 2,001 | 1,794 | $8K | |
| 90791 | Psychiatric diagnostic evaluation | 106 | 90 | $3K |
| 99215 | Prolong outpt/office vis | 90 | 68 | $1K |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 138 | 103 | $785.71 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 23 | 12 | $549.63 |
| 99305 | 15 | 15 | $510.18 | |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | 15 | 13 | $119.98 |
| Q3014 | Telehealth originating site facility fee | 181 | 110 | $0.00 |