RADY CHILDREN'S HOSPITAL SAN DIEGO
NPI: 1154613818
· OCEANSIDE, CA 92056
· Clinical Psychologist
· NPI assigned 05/12/2011
$608K
Total Medicaid Paid
Provider Details
| Authorized Official | BIAL, VIRGINIA (PROGRAM MANAGER) |
| Parent Organization | RADY CHILDREN'S HOSPITAL SAN DIEGO |
| NPI Enumeration Date | 05/12/2011 |
Related Entities
Other providers sharing the same authorized official: BIAL, VIRGINIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50 |
$28K |
| 2019 |
55 |
$32K |
| 2020 |
405 |
$240K |
| 2022 |
343 |
$221K |
| 2023 |
176 |
$87K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
1,005 |
613 |
$603K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
12 |
12 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$2K |