MASTERMIND CLINIC PLLC
NPI: 1285247486
· COLORADO SPRINGS, CO 80918
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 08/26/2020
$780K
Total Medicaid Paid
Provider Details
| Authorized Official | STORMES, JENNIE (PMHNP-BC) |
| NPI Enumeration Date | 08/26/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
933 |
$43K |
| 2022 |
2,088 |
$93K |
| 2023 |
2,926 |
$352K |
| 2024 |
1,792 |
$292K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G2083 |
Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, includes 2 hours post-administration observation |
365 |
117 |
$436K |
| 99215 |
Prolong outpt/office vis |
1,335 |
957 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,515 |
1,319 |
$129K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
854 |
746 |
$41K |
| 96127 |
|
3,213 |
1,977 |
$19K |
| 99205 |
Prolong outpt/office vis |
29 |
24 |
$3K |
| 90837 |
Psychotherapy, 53 minutes with patient |
17 |
12 |
$2K |
| 90785 |
|
396 |
326 |
$1K |
| 90836 |
|
15 |
12 |
$858.77 |