PINE RIDGE MENTAL HEALTHCARE, LLC
NPI: 1346828050
· OWASSO, OK 74055
· Mental Health Counselor
· NPI assigned 04/01/2021
$644K
Total Medicaid Paid
Provider Details
| Authorized Official | MASON, NICOLE (OWNER) |
| NPI Enumeration Date | 04/01/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
117 |
$12K |
| 2022 |
1,415 |
$125K |
| 2023 |
4,134 |
$284K |
| 2024 |
3,684 |
$224K |
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 |
4,786 |
3,848 |
$509K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
601 |
515 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
491 |
462 |
$36K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
207 |
207 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
109 |
$15K |
| 96127 |
|
3,156 |
2,429 |
$13K |