SAN PEDRO HEALTH PLLC
NPI: 1245501188
· SIERRA VISTA, AZ 85635
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 01/24/2012
$138K
Total Medicaid Paid
Provider Details
| Authorized Official | REED, JAMES (MANAGER) |
| NPI Enumeration Date | 01/24/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
203 |
$5K |
| 2022 |
1,268 |
$49K |
| 2023 |
910 |
$42K |
| 2024 |
892 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,166 |
896 |
$54K |
| 90834 |
Psychotherapy, 45 minutes with patient |
771 |
434 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
899 |
683 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
437 |
308 |
$14K |