ADDICTION WELLNESS CENTER LLC
NPI: 1275203275
· QUANTICO, MD 21856
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 09/20/2021
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COSTLEY, JESSIE controls 17+ related entities in our dataset. Read more
$4.19M
Total Medicaid Paid
Provider Details
| Authorized Official | COSTLEY, JESSIE (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 09/20/2021 |
Related Entities
Other providers sharing the same authorized official: COSTLEY, JESSIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,216 |
$340K |
| 2023 |
10,251 |
$1.53M |
| 2024 |
18,124 |
$2.32M |
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 |
20,866 |
9,487 |
$2.84M |
| 99215 |
Prolong outpt/office vis |
4,761 |
2,364 |
$911K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,371 |
1,344 |
$243K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,884 |
1,880 |
$124K |
| 90836 |
|
461 |
453 |
$37K |
| 99205 |
Prolong outpt/office vis |
89 |
89 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
146 |
$14K |