ADDICTION WELLNESS CENTER OH LLC
NPI: 1275235103
· TOLEDO, OH 43606
· Addiction Medicine (Family Medicine) Physician
· NPI assigned 03/22/2023
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COSTLEY, JESSIE controls 17+ related entities in our dataset. Read more
Provider Details
| Authorized Official | COSTLEY, JESSIE (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 03/22/2023 |
Related Entities
Other providers sharing the same authorized official: COSTLEY, JESSIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
1,655 |
$99K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
597 |
336 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
492 |
290 |
$29K |
| 99215 |
Prolong outpt/office vis |
205 |
108 |
$16K |
| 90836 |
|
209 |
203 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
152 |
$12K |