MINDFUL WELLNESS LLC
NPI: 1215682455
· SOUTH PORTLAND, ME 04106
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 02/16/2022
$177K
Total Medicaid Paid
Provider Details
| Authorized Official | LADD, KRYSTLE (OWNER) |
| NPI Enumeration Date | 02/16/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
39 |
$3K |
| 2023 |
1,003 |
$75K |
| 2024 |
1,333 |
$99K |
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 |
2,149 |
1,620 |
$161K |
| 99205 |
Prolong outpt/office vis |
76 |
63 |
$8K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
150 |
126 |
$7K |