BLUE BALLOON NC LLC
NPI: 1235880329
· RALEIGH, NC 27615
· Psychologist
· NPI assigned 01/11/2022
$405K
Total Medicaid Paid
Provider Details
| Authorized Official | SUSSMAN, DAVID (MEMBER) |
| NPI Enumeration Date | 01/11/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
233 |
$9K |
| 2024 |
5,906 |
$396K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
3,897 |
294 |
$245K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
1,040 |
213 |
$62K |
| 97151 |
|
459 |
126 |
$50K |
| 90791 |
Psychiatric diagnostic evaluation |
295 |
220 |
$21K |
| 96131 |
|
168 |
101 |
$14K |
| 96130 |
|
142 |
108 |
$11K |
| 97156 |
|
125 |
76 |
$450.30 |
| 96138 |
|
13 |
13 |
$377.94 |