WILD MAGNOLIA WELLNESS
NPI: 1255820205
· LOS RANCHOS, NM 87107
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 05/04/2018
$911K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
603 |
$67K |
| 2021 |
1,186 |
$135K |
| 2022 |
1,503 |
$116K |
| 2023 |
1,559 |
$188K |
| 2024 |
2,335 |
$405K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
6,571 |
2,125 |
$774K |
| H2015 |
Comprehensive community support services, per 15 minutes |
600 |
184 |
$135K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
15 |
$2K |