MANDALA INTEGRATED THERAPY
NPI: 1225763568
· ALBUQUERQUE, NM 87113
· Clinical Social Worker
· NPI assigned 07/20/2022
$170K
Total Medicaid Paid
Provider Details
| Authorized Official | BROCK, KATHRYN (OWNER) |
| NPI Enumeration Date | 07/20/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
209 |
$31K |
| 2024 |
904 |
$138K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
1,087 |
416 |
$164K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
26 |
$5K |