CHAMPION STATE OF MIND PLLC
NPI: 1033578331
· ESTHERVILLE, IA 51334
· Mental Health Counselor
· NPI assigned 02/15/2016
$611K
Total Medicaid Paid
Provider Details
| Authorized Official | OLSON, AMANDA (OWNER) |
| NPI Enumeration Date | 02/15/2016 |
Related Entities
Other providers sharing the same authorized official: OLSON, AMANDA
| Provider | City | State | Total Paid |
|---|
| MOXIE NOVA |
ESTHERVILLE |
IA |
$14K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,095 |
$62K |
| 2019 |
2,207 |
$156K |
| 2020 |
2,316 |
$151K |
| 2021 |
1,853 |
$125K |
| 2022 |
1,342 |
$88K |
| 2023 |
473 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
4,508 |
2,762 |
$290K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,557 |
2,002 |
$257K |
| 90832 |
Psychotherapy, 30 minutes with patient |
911 |
626 |
$38K |
| 90791 |
Psychiatric diagnostic evaluation |
310 |
291 |
$26K |