CONQUER ADDICTION PLLC
NPI: 1255001624
· MONROE, WA 98272
· Psychiatry Physician
· NPI assigned 09/17/2021
$469K
Total Medicaid Paid
Provider Details
| Authorized Official | GRILLO, JACOB (CEO) |
| NPI Enumeration Date | 09/17/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
1,185 |
$93K |
| 2023 |
1,131 |
$153K |
| 2024 |
1,655 |
$223K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
1,914 |
1,346 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,191 |
817 |
$133K |
| 99205 |
Prolong outpt/office vis |
181 |
167 |
$30K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
659 |
324 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
26 |
25 |
$304.76 |