PACIFIC BLUE PSYCHOLOGICAL SERVICES
NPI: 1124678719
· SHERMAN OAKS, CA 91411
· Psychologist
· NPI assigned 09/16/2019
$774K
Total Medicaid Paid
Provider Details
| Authorized Official | CARROLL, JOHN (OWNER) |
| NPI Enumeration Date | 09/16/2019 |
Related Entities
Other providers sharing the same authorized official: CARROLL, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
491 |
$0.00 |
| 2021 |
3,626 |
$38K |
| 2022 |
8,771 |
$206K |
| 2023 |
9,231 |
$154K |
| 2024 |
15,067 |
$376K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90832 |
Psychotherapy, 30 minutes with patient |
26,298 |
6,253 |
$655K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
8,497 |
2,205 |
$114K |
| 90791 |
Psychiatric diagnostic evaluation |
113 |
111 |
$4K |
| 90785 |
|
2,278 |
831 |
$1K |