Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FIDEL PSYCHIATRIC HEALTH SERVICES

NPI: 1033702519 · PHOENIX, AZ 85041 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 02/16/2021

$1.01M
Total Medicaid Paid
10,219
Total Claims
9,999
Beneficiaries
6
Codes Billed
2021-05
First Month
2023-12
Last Month

Provider Details

Authorized OfficialEBEREONWU, FIDELIS (DIRECTOR)
NPI Enumeration Date02/16/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 765 $81K
2022 4,748 $434K
2023 4,706 $490K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99205 Prolong outpt/office vis 3,866 3,836 $521K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,884 3,735 $250K
99215 Prolong outpt/office vis 1,401 1,371 $154K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 877 867 $67K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 145 144 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 46 46 $5K