Medicaid Provider Spending

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

SUPREME MENTAL WELLNESS LIMITED LIABILITY COMPANY

NPI: 1386477636 · CLINTON, MD 20735 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 08/22/2024

$7K
Total Medicaid Paid
45
Total Claims
40
Beneficiaries
2
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAYANWALE, OLAKUNLE (PRESIDENT)
NPI Enumeration Date08/22/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 45 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90792 Psychiatric diagnostic evaluation with medical services 26 24 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19 16 $2K