DIVINE HEALTH GROUP LLC
NPI: 1164120796
· LA JUNTA, CO 81050
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 02/22/2023
$150K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
528 |
$35K |
| 2024 |
1,901 |
$115K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,537 |
1,052 |
$107K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
768 |
501 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
55 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
67 |
62 |
$502.21 |