TRANQUILITY BEHAVIORAL TELEHEALTH LLC
NPI: 1306488572
· EAGLE RIVER, AK 99577
· Family Nurse Practitioner
· NPI assigned 10/09/2019
$313K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, SHANNON (OWNER) |
| NPI Enumeration Date | 10/09/2019 |
Related Entities
Other providers sharing the same authorized official: DAVIS, SHANNON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
369 |
$36K |
| 2021 |
720 |
$60K |
| 2022 |
1,233 |
$60K |
| 2023 |
803 |
$98K |
| 2024 |
460 |
$60K |
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 |
1,509 |
1,046 |
$187K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,561 |
1,055 |
$120K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
298 |
96 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
128 |
59 |
$0.00 |
| 99072 |
|
89 |
59 |
$0.00 |