HOPE419, LLC
NPI: 1184375628
· ONTARIO, OH 44906
· Family Medicine Physician
· NPI assigned 01/17/2022
$1.36M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: WILSON, JOHANNA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
1,306 |
$99K |
| 2023 |
5,978 |
$502K |
| 2024 |
7,616 |
$757K |
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 |
6,499 |
5,279 |
$762K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
4,839 |
4,031 |
$264K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,739 |
1,165 |
$178K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,429 |
1,026 |
$101K |
| 90791 |
Psychiatric diagnostic evaluation |
138 |
125 |
$16K |
| 96133 |
|
39 |
39 |
$12K |
| 96137 |
|
53 |
53 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$6K |
| 96132 |
|
52 |
52 |
$5K |
| 96136 |
|
53 |
53 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
16 |
13 |
$967.84 |
| 90836 |
|
16 |
13 |
$875.38 |