MEDIWELL PRO ADVANCE CARE LLC
NPI: 1184336133
· HENDERSON, NV 89074
· Psychiatry Physician
· NPI assigned 12/21/2022
$319K
Total Medicaid Paid
Provider Details
| Authorized Official | RAVELO, YANEISY (MANAGER) |
| NPI Enumeration Date | 12/21/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
3,393 |
$319K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90876 |
|
2,975 |
388 |
$273K |
| 90837 |
Psychotherapy, 53 minutes with patient |
252 |
243 |
$26K |
| 95816 |
|
34 |
34 |
$11K |
| 96132 |
|
34 |
34 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
30 |
30 |
$3K |
| 96136 |
|
34 |
34 |
$1K |
| 96137 |
|
34 |
34 |
$1K |