STACEY RENEE TESAURO INC.
NPI: 1194425603
· UNIONTOWN, PA 15401
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 03/06/2023
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | TESAURO, STACEY (PRESIDENT) |
| NPI Enumeration Date | 03/06/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
449 |
$35K |
| 2024 |
1,083 |
$86K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,437 |
867 |
$114K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
90 |
$7K |