NPI: 1023660206 · MEMPHIS, TN 38116 · Psychologist · NPI assigned 07/09/2019
| Authorized Official | LICHTSCHEIN, RAPHAEL (OWNER) |
| NPI Enumeration Date | 07/09/2019 |
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 |
| 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 NEW HAMPSHIRE LLC | DERRY | NH | $6K |
| SUPPORTIVE CARE OF SOUTH CAROLINA LLC | MT PLEASANT | SC | $1K |
| SUPPORTIVE CARE OF MICHIGAN LLC | IRON RIVER | MI | $739.07 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $662.00 |
| 2021 | 3,022 | $35K |
| 2022 | 7,124 | $89K |
| 2023 | 13,027 | $164K |
| 2024 | 7,055 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99310 | Prolong nursin fac eval 15m | 3,003 | 2,086 | $85K |
| 90832 | Psychotherapy, 30 minutes with patient | 8,016 | 4,380 | $74K |
| 90834 | Psychotherapy, 45 minutes with patient | 3,615 | 1,144 | $52K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 5,021 | 3,176 | $46K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3,078 | 2,105 | $36K |
| 90791 | Psychiatric diagnostic evaluation | 1,747 | 1,439 | $34K |
| 99306 | Prolong nursin fac eval 15m | 494 | 381 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 545 | 398 | $6K |
| Q3014 | Telehealth originating site facility fee | 1,568 | 983 | $3K |
| 90836 | 190 | 158 | $2K | |
| 90837 | Psychotherapy, 53 minutes with patient | 177 | 123 | $2K |
| 90785 | 2,787 | 990 | $89.87 |