Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

INTEGRATED MEDICAL WELLNESS CENTER, LLC

NPI: 1194335802 · PEORIA, AZ 85383 · Pulmonary Disease Physician · NPI assigned 08/06/2020

$4.55M
Total Medicaid Paid
49,787
Total Claims
7,628
Beneficiaries
21
Codes Billed
2021-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDREVAL, ANDRE (MANAGING MEMBER)
NPI Enumeration Date08/06/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 867 $66K
2022 17,569 $1.85M
2023 19,522 $1.57M
2024 11,829 $1.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 13,363 1,435 $1.94M
H2014 Skills training and development, per 15 minutes 13,350 1,434 $875K
H2027 Psychoeducational service, per 15 minutes 13,790 1,408 $871K
H2017 Psychosocial rehabilitation services, per 15 minutes 1,324 358 $366K
T1016 Case management, each 15 minutes 3,414 1,190 $257K
H2025 Ongoing support to maintain employment, per 15 minutes 2,591 472 $89K
H0031 Mental health assessment, by non-physician 226 226 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 589 251 $42K
H2016 Comprehensive community support services, per diem 122 60 $21K
99215 Prolong outpt/office vis 175 93 $16K
99403 231 119 $15K
H0001 Alcohol and/or drug assessment 225 225 $8K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 214 214 $6K
96130 23 20 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38 26 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
90838 16 13 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 18 13 $1K
90834 Psychotherapy, 45 minutes with patient 12 12 $898.00
90837 Psychotherapy, 53 minutes with patient 32 29 $519.16
H0038 Self-help/peer services, per 15 minutes 22 18 $0.00