EBENEZER MEDICAL CENTER LLC
NPI: 1184381246
· LAS VEGAS, NV 89102
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 11/23/2021
$232K
Total Medicaid Paid
1,379
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
7,149 |
$232K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90876 |
|
2,460 |
460 |
$196K |
| Q3014 |
Telehealth originating site facility fee |
2,298 |
459 |
$23K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,391 |
460 |
$13K |