LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC
NPI: 1093347718
· FAIRLAWN, OH 44333
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 02/11/2020
$323K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH-MURRAY, DEWAN (OWNER OF ENTITY) |
| NPI Enumeration Date | 02/11/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
717 |
$36K |
| 2021 |
1,058 |
$44K |
| 2022 |
1,239 |
$50K |
| 2023 |
2,058 |
$89K |
| 2024 |
1,560 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,801 |
1,754 |
$167K |
| 90833 |
|
2,722 |
1,775 |
$92K |
| 99215 |
Prolong outpt/office vis |
600 |
253 |
$51K |
| 90836 |
|
99 |
84 |
$7K |
| 99204 |
|
32 |
30 |
$3K |
| 90834 |
|
24 |
20 |
$1K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
27 |
26 |
$595.97 |
| 90832 |
|
13 |
13 |
$515.88 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
49 |
28 |
$18.00 |
| 80305 |
|
61 |
49 |
$10.10 |
| 99607 |
|
38 |
34 |
$0.00 |
| 6101F |
|
25 |
13 |
$0.00 |
| 99606 |
|
141 |
107 |
$0.00 |