Medicaid Provider Spending

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

DYMPHNA SAN DIEGO TMS INC

NPI: 1255951620 · CHULA VISTA, CA 91910 · Psychiatry Physician · NPI assigned 04/25/2020

$185K
Total Medicaid Paid
9,546
Total Claims
7,928
Beneficiaries
16
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCAVA, NOLI (PROVIDER)
NPI Enumeration Date04/25/2020

Related Entities

Other providers sharing the same authorized official: CAVA, NOLI

ProviderCityStateTotal Paid
SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE GROUP INC CHULA VISTA CA $11K
CABLE STREET FAMILY PRACTICE AND MEDICAL GROUP, INC. SAN DIEGO CA $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 16 $8.34
2021 1,060 $26K
2022 2,342 $52K
2023 3,186 $65K
2024 2,942 $43K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
Q3014 Telehealth originating site facility fee 3,121 2,886 $42K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,077 1,778 $35K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 480 477 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,113 1,005 $19K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 512 263 $14K
95911 71 64 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,071 481 $11K
95886 88 80 $9K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 485 434 $4K
99310 Prolong nursin fac eval 15m 107 103 $4K
99349 75 74 $3K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 110 62 $2K
90791 Psychiatric diagnostic evaluation 50 43 $2K
99443 99 96 $1K
90792 Psychiatric diagnostic evaluation with medical services 14 14 $409.10
90785 73 68 $118.12