Medicaid Provider Spending

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

FUSE MEDICAL

NPI: 1164003125 · LONDON, KY 40741 · Nurse Practitioner · NPI assigned 04/20/2021

$7.03M
Total Medicaid Paid
144,325
Total Claims
42,816
Beneficiaries
29
Codes Billed
2021-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWHITHEAD, TAMMY (OWNER)
NPI Enumeration Date04/20/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,817 $69K
2022 6,713 $266K
2023 56,191 $2.50M
2024 79,604 $4.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0038 Self-help/peer services, per 15 minutes 64,250 2,039 $2.72M
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 14,754 1,408 $1.16M
T2023 Targeted case management; per month 2,988 2,124 $731K
90837 Psychotherapy, 53 minutes with patient 10,140 3,418 $596K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 10,321 8,388 $313K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,358 8,391 $267K
H2020 Therapeutic behavioral services, per diem 2,775 238 $248K
H2027 Psychoeducational service, per 15 minutes 454 188 $217K
H0031 Mental health assessment, by non-physician 3,274 2,792 $177K
H0032 Mental health service plan development by non-physician 2,591 1,940 $115K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,591 1,391 $110K
90785 12,846 5,327 $80K
90791 Psychiatric diagnostic evaluation 889 788 $65K
H2015 Comprehensive community support services, per 15 minutes 1,316 420 $53K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,301 1,102 $52K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 915 733 $44K
90832 Psychotherapy, 30 minutes with patient 1,289 712 $36K
90846 Family psychotherapy without the patient present, 50 minutes 451 235 $19K
90847 Family psychotherapy with the patient present, 50 minutes 451 288 $18K
90792 Psychiatric diagnostic evaluation with medical services 83 74 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 481 317 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 93 77 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 86 84 $2K
90853 Group psychotherapy (other than of a multiple-family group) 228 72 $2K
99215 Prolong outpt/office vis 19 16 $1K
80305 303 200 $949.06
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 14 14 $437.50
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 29 14 $177.42
96127 35 26 $0.00