ARIZONA CHILDRENS THERAPY CENTER LLC
NPI: 1023432465
· PEORIA, AZ 85383
· Clinical Child & Adolescent Psychologist
· NPI assigned 02/05/2014
$27.17
Total Medicaid Paid
Provider Details
| Authorized Official | EVANS, ROY (PARTNER) |
| NPI Enumeration Date | 02/05/2014 |
Related Entities
Other providers sharing the same authorized official: EVANS, ROY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
145 |
$27.17 |
| 2022 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
39 |
$15.50 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
38 |
38 |
$11.67 |
| 96136 |
|
53 |
40 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |