HOLON HEALTH GREAT LAKES PC
NPI: 1194414805
· RICHMOND, VA 23238
· 207R00000X
$321K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
20 |
$156.49 |
| 2024 |
33,980 |
$321K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0038 |
Self-help/peer svc per 15min |
15,048 |
4,662 |
$92K |
| 98980 |
|
4,220 |
2,927 |
$65K |
| 98981 |
|
3,165 |
2,353 |
$43K |
| 90832 |
|
1,231 |
934 |
$38K |
| 99214 |
|
559 |
440 |
$33K |
| 99204 |
|
275 |
246 |
$13K |
| 90791 |
|
242 |
186 |
$10K |
| 99484 |
|
1,409 |
1,084 |
$6K |
| 98978 |
|
1,569 |
1,241 |
$5K |
| 98975 |
|
835 |
551 |
$4K |
| 80305 |
|
1,580 |
574 |
$3K |
| 99213 |
|
145 |
133 |
$3K |
| 90837 |
|
56 |
29 |
$1K |
| 90834 |
|
16 |
13 |
$945.23 |
| 99212 |
|
58 |
50 |
$750.27 |
| 99492 |
|
88 |
57 |
$585.24 |
| 99494 |
|
110 |
70 |
$424.11 |
| T1016 |
Case management |
619 |
619 |
$391.50 |
| 90792 |
|
39 |
35 |
$372.74 |
| 99205 |
Prolong outpt/office vis |
28 |
18 |
$303.24 |
| 98976 |
|
307 |
110 |
$270.97 |
| 96127 |
|
85 |
55 |
$8.34 |
| 80306 |
|
150 |
60 |
$0.00 |
| G2214 |
Init/sub psych care m 1st 30 |
1,884 |
1,203 |
$0.00 |
| 99421 |
|
246 |
61 |
$0.00 |
| 80307 |
|
36 |
28 |
$0.00 |