VICTORY PSYCHIATRIC AND MENTAL HEALTH SERVICES, LLC
NPI: 1376290213
· SPRINGDALE, MD 20774
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 03/09/2022
$719.25
Total Medicaid Paid
Provider Details
| Authorized Official | CHI, VICTORINE (PROVIDER) |
| NPI Enumeration Date | 03/09/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
147 |
$620.67 |
| 2023 |
20 |
$98.58 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90791 |
Psychiatric diagnostic evaluation |
68 |
21 |
$430.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
99 |
50 |
$289.25 |