MEDITELECARE OF MARYLAND LLC
NPI: 1083297089
· BALTIMORE, MD 21202
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 04/28/2021
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official GODFREY, ANDREA controls 18+ related entities in our dataset. Read more
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | GODFREY, ANDREA (CREDENTIALING & ENROLLMENT MANAGER) |
| NPI Enumeration Date | 04/28/2021 |
Related Entities
Other providers sharing the same authorized official: GODFREY, ANDREA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
636 |
$7K |
| 2022 |
3,255 |
$46K |
| 2023 |
1,517 |
$31K |
| 2024 |
1,209 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,296 |
2,210 |
$74K |
| 99484 |
|
2,391 |
2,140 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
917 |
444 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$356.99 |