Medicaid Provider Spending

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

INTEGRATIVE PSYCHOLOGICAL CENTER LLC

NPI: 1306318670 · HARTFORD, CT 06106 · Clinical Psychologist · NPI assigned 12/26/2018

$0.00
Total Medicaid Paid
176
Total Claims
81
Beneficiaries
1
Codes Billed
2018-12
First Month
2019-01
Last Month

Provider Details

Authorized OfficialWALLACE, RANDALL (OWNER/PSYCHOLOGIST)
NPI Enumeration Date12/26/2018

Related Entities

Other providers sharing the same authorized official: WALLACE, RANDALL

ProviderCityStateTotal Paid
FAMILY BASED THERAPY ASSOCIATES COON RAPIDS MN $2.47M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 70 $0.00
2019 106 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 176 81 $0.00