HOLDING SPACE LLC
NPI: 1033772421
· WESTLAKE, OH 44145
· Professional Counselor
· NPI assigned 04/21/2019
$360K
Total Medicaid Paid
Provider Details
| Authorized Official | MANRODT, TIFFANY (CLINICAL DIRECTOR, LISW) |
| NPI Enumeration Date | 04/21/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
568 |
$30K |
| 2023 |
2,236 |
$148K |
| 2024 |
2,169 |
$182K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
3,852 |
1,543 |
$305K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
911 |
702 |
$43K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
167 |
147 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
24 |
$2K |
| 99215 |
Prolong outpt/office vis |
18 |
16 |
$1K |