FUENTE DE VIDA MENTAL HEALTH SERVICES
NPI: 1316538465
· LAS VEGAS, NV 89120
· Clinical Social Worker
· NPI assigned 02/01/2021
$384K
Total Medicaid Paid
Provider Details
| Authorized Official | SANCHEZ, PERLA (MANAGER) |
| NPI Enumeration Date | 02/01/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,729 |
$97K |
| 2023 |
3,797 |
$185K |
| 2024 |
2,048 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
2,733 |
1,354 |
$174K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,437 |
742 |
$74K |
| 90876 |
|
749 |
360 |
$60K |
| Q3014 |
Telehealth originating site facility fee |
2,301 |
1,075 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
211 |
204 |
$25K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
105 |
73 |
$8K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
38 |
25 |
$2K |