Medicaid Provider Spending

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

NATIONAL BEHAVIORAL HEALTH

NPI: 1093108474 · LEXINGTON, KY 40514 · Psychiatry Physician · NPI assigned 03/10/2015

$1.46M
Total Medicaid Paid
44,456
Total Claims
25,014
Beneficiaries
28
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialALI, OSAMA (OWNER)
NPI Enumeration Date03/10/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,634 $663K
2019 13,157 $504K
2020 5,976 $214K
2021 1,689 $78K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,246 7,511 $469K
90837 Psychotherapy, 53 minutes with patient 4,417 2,676 $264K
T2023 Targeted case management; per month 741 558 $178K
80305 11,637 4,839 $108K
90832 Psychotherapy, 30 minutes with patient 3,303 2,339 $102K
90792 Psychiatric diagnostic evaluation with medical services 1,187 1,024 $100K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,550 1,137 $79K
90834 Psychotherapy, 45 minutes with patient 951 750 $39K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 947 690 $33K
99233 Prolong inpt eval add15 m 398 257 $22K
99232 Subsequent hospital care, per day, moderate complexity 496 243 $19K
99223 Prolong inpt eval add15 m 165 152 $18K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,222 894 $16K
99215 Prolong outpt/office vis 151 121 $11K
99239 Hospital discharge day management, more than 30 minutes 29 28 $2K
81025 195 132 $909.89
99051 102 84 $148.50
96127 203 116 $52.54
96160 42 28 $20.28
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 642 268 $0.03
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 474 191 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 641 268 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 385 155 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 232 105 $0.00
4004F 96 32 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 384 155 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 376 152 $0.00
1111F 244 109 $0.00