Medicaid Provider Spending

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

NPI: 1093350647 · NORTH PLATTE, NE 69101 · Clinical Psychologist · NPI assigned 11/07/2019

$22K
Total Medicaid Paid
1,225
Total Claims
546
Beneficiaries
4
Codes Billed
2021-04
First Month
2022-07
Last Month

Provider Details

Authorized OfficialBADDOUR, PEGGY (PRESIDENT)
NPI Enumeration Date11/07/2019

Related Entities

Other providers sharing the same authorized official: BADDOUR, PEGGY

ProviderCityStateTotal Paid
LIFESOURCE OF NORTH CAROLINA WILMINGTON NC $5.71M
LIFESOURCE OF NORTH CAROLINA CLINTON SC $3.07M
LIFESOURCE OF NORTH CAROLINA PIKEVILLE KY $307K
LIFESOURCE OF NORTH CAROLINA RICHMOND VA $74K
LIFESOURCE OF NORTH CAROLINA CEDAR FALLS IA $38K
LIFESOURCE OF NORTH CAROLINA MILWAUKEE WI $27K
LIFESOURCE OF NORTH CAROLINA HOLLAND OH $25K
LIFESOURCE OF NORTH CAROLINA MILTON FL $17K
LIFESOURCE OF NORTH CAROLINA IRONDALE AL $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 761 $15K
2022 464 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90832 Psychotherapy, 30 minutes with patient 593 209 $16K
Q3014 Telehealth originating site facility fee 432 164 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity 184 161 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16 12 $365.81