ST MARY MERCY HOSPITAL PROFESSIONAL
NPI: 1386913705
· ANN ARBOR, MI 48105
· Community/Behavioral Health Agency
· NPI assigned 12/14/2011
$118K
Total Medicaid Paid
Provider Details
| Authorized Official | SPIVEY, DAVID (PRESIDENT / CEO) |
| Parent Organization | ST MARY MERCY HOSPITAL PROFESSIONAL |
| NPI Enumeration Date | 12/14/2011 |
Related Entities
Other providers sharing the same authorized official: SPIVEY, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,148 |
$45K |
| 2019 |
1,353 |
$55K |
| 2020 |
400 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,655 |
1,042 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
209 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
15 |
$1K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
13 |
$1K |