Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WISDOM PSYCHIATRIC CARE AND MEDICATION MANAGEMENT LLC

NPI: 1255925962 · MOUNDS VIEW, MN 55112 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 02/23/2021

$6K
Total Medicaid Paid
73
Total Claims
63
Beneficiaries
1
Codes Billed
2022-09
First Month
2023-06
Last Month

Provider Details

Authorized OfficialKABANUK DOHM, MELODIE (OWNER/PROVIDER)
NPI Enumeration Date02/23/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 13 $867.74
2023 60 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 73 63 $6K