VIKING PSYCHIATRY LLC
NPI: 1184292054
· FORT WAYNE, IN 46825
· Psychiatry Physician
· NPI assigned 06/16/2021
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | GODDARD, SEAN (OWNER) |
| NPI Enumeration Date | 06/16/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
110 |
$11K |
| 2024 |
1,075 |
$91K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
515 |
170 |
$59K |
| 99417 |
Prolong home eval add 15m |
435 |
142 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
41 |
$4K |
| 96127 |
|
168 |
64 |
$456.56 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$350.45 |