PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI: 1124171954
· TRAVERSE CITY, MI 49684
· Psychiatry Physician
· NPI assigned 01/18/2007
$450K
Total Medicaid Paid
Provider Details
| Authorized Official | FENNEMA, DIANE (MANAGED CARE ADMINISTATOR) |
| Parent Organization | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| NPI Enumeration Date | 01/18/2007 |
Related Entities
Other providers sharing the same authorized official: FENNEMA, DIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,927 |
$324K |
| 2019 |
721 |
$127K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
1,045 |
661 |
$134K |
| T1017 |
Targeted case management, each 15 minutes |
452 |
275 |
$129K |
| 90837 |
Psychotherapy, 53 minutes with patient |
592 |
340 |
$97K |
| H0032 |
Mental health service plan development by non-physician |
209 |
209 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
185 |
$20K |
| 90834 |
Psychotherapy, 45 minutes with patient |
163 |
111 |
$17K |