Medicaid Provider Spending

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

STAR BEHAVIORAL HEALTH, PLLC

NPI: 1376011650 · ROANOKE, VA 24018 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 11/05/2018

$1.05M
Total Medicaid Paid
17,054
Total Claims
4,818
Beneficiaries
12
Codes Billed
2019-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUPPEL, PAMELA (NURSE PRACTITIONER/CEO)
NPI Enumeration Date11/05/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 16 $345.40
2020 1,601 $75K
2021 4,052 $188K
2022 4,313 $286K
2023 3,419 $258K
2024 3,653 $246K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 7,784 2,091 $574K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 5,489 1,515 $257K
99417 Prolong home eval add 15m 1,072 425 $105K
99354 561 125 $35K
90868 630 94 $33K
99355 563 125 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 371 109 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 187 137 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50 16 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 18 15 $848.46
3085F 274 140 $479.00
J3490 Unclassified drugs 55 26 $38.50