MAINE EAST SCHOOL BASED HEALTH CENTER
NPI: 1073652657
· PARK RIDGE, IL 60068
· Student Health Clinic/Center
· NPI assigned 02/06/2007
Provider Details
| Authorized Official | KALOU, MARY (ASST SUPERINTENDANT) |
| NPI Enumeration Date | 02/06/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$902.58 |
| 2019 |
218 |
$4K |
| 2020 |
166 |
$3K |
| 2021 |
338 |
$6K |
| 2022 |
415 |
$8K |
| 2023 |
658 |
$13K |
| 2024 |
275 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
495 |
411 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
376 |
351 |
$12K |
| 96127 |
|
322 |
297 |
$5K |
| 99173 |
|
356 |
330 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
209 |
177 |
$2K |
| 90734 |
|
198 |
161 |
$2K |
| 0002A |
|
31 |
31 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
12 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
15 |
12 |
$663.00 |
| 0004A |
|
17 |
12 |
$620.58 |
| 86580 |
|
37 |
33 |
$148.00 |
| 90651 |
|
18 |
14 |
$115.20 |
| 90686 |
|
12 |
12 |
$76.80 |