NPI: 1013657618 · DERRY, NH 03038 · Clinical Psychologist · NPI assigned 03/31/2022
| Authorized Official | LICHTSCHEIN, RAPHAEL (PRESIDENT) |
| NPI Enumeration Date | 03/31/2022 |
Other providers sharing the same authorized official: LICHTSCHEIN, RAPHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| SUPPORTIVE CARE OF MARYLAND LLC | RIVERDALE | MD | $601K |
| SUPPORTIVE BEHAVIORAL CARE OF MA LLC | BOSTON | MA | $486K |
| STEP UP CARE OF TENNESSEE LLC | MEMPHIS | TN | $346K |
| SUPPORTIVE CARE OF MARYLAND LLC | BALTIMORE | MD | $177K |
| SUPPORTIVE CARE OF VIRGINIA LLC | COLONIAL HEIGHTS | VA | $86K |
| SUPPORTIVE CARE OF VERMONT LLC | RICHMOND | VT | $22K |
| SUPPORTIVE CARE OF SOUTH CAROLINA LLC | MT PLEASANT | SC | $1K |
| SUPPORTIVE CARE OF MICHIGAN LLC | IRON RIVER | MI | $739.07 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 489 | $177.76 |
| 2023 | 1,975 | $2K |
| 2024 | 2,942 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes with patient | 502 | 254 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1,460 | 871 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2,935 | 1,386 | $1K |
| 90791 | Psychiatric diagnostic evaluation | 108 | 83 | $493.43 |
| 99305 | 144 | 102 | $251.38 | |
| 99306 | Prolong nursin fac eval 15m | 165 | 94 | $214.80 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 26 | 16 | $23.76 |
| Q3014 | Telehealth originating site facility fee | 23 | 13 | $0.00 |
| 99310 | Prolong nursin fac eval 15m | 43 | 26 | $0.00 |