STATE STREET BEHAVIORAL SERVICES
NPI: 1265050793
· SAGINAW, MI 48603
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 07/10/2020
$1.34M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
4,135 |
$217K |
| 2022 |
7,097 |
$370K |
| 2023 |
6,804 |
$424K |
| 2024 |
4,851 |
$332K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,055 |
9,407 |
$677K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,414 |
7,005 |
$346K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,994 |
1,963 |
$259K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
801 |
776 |
$29K |
| 99215 |
Prolong outpt/office vis |
145 |
100 |
$15K |
| 99205 |
Prolong outpt/office vis |
115 |
114 |
$13K |
| 96127 |
|
2,363 |
2,242 |
$5K |