NPI: 1407351778 · BALTIMORE, MD 21209 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 03/28/2018
Authorized official COSTLEY, JESSIE controls 17+ related entities in our dataset. Read more
| Authorized Official | COSTLEY, JESSIE (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 03/28/2018 |
Other providers sharing the same authorized official: COSTLEY, JESSIE
| Provider | City | State | Total Paid |
|---|---|---|---|
| EVOLVE LIFE CENTERS IOP LLC | PASADENA | MD | $6.56M |
| ADDICTION WELLNESS CENTER LLC | QUANTICO | MD | $4.19M |
| BLUEPRINT RECOVERY CENTER, LLC | CONCORD | NH | $3.29M |
| EVOLVE LIFE CENTERS IOP LLC | PASADENA | MD | $3.28M |
| FAMILY AND CHILDRENS SERVICES OF CENTRAL MARYLAND INC | BEL AIR | MD | $1.71M |
| EVOLVE LIFE CENTERS IOP LLC | PASADENA | MD | $1.47M |
| ADDICTION WELLNESS CENTER IN LLC | JEFFERSONVILLE | IN | $1.37M |
| FAMILY & CHILDRENS SERVICES OF CENTRAL MARYLAND INC | COLUMBIA | MD | $684K |
| EVOLVE RESIDENTIAL, LLC | PASADENA | MD | $606K |
| ADDICTION WELLNESS CENTER NH LLC | MANCHESTER | NH | $513K |
| FAYETTE BHC LLC | CONNERSVILLE | IN | $363K |
| ADDICTION WELLNESS CENTER OH LLC | TOLEDO | OH | $99K |
| EVOLVE HEALTH PARTNERS | PASADENA | MD | $94K |
| BRIDGE MENTAL HEALTH LLC | LAUREL | MD | $46K |
| MARYLAND WELLNESS AND RECOVERY, LLC | ROCKVILLE | MD | $19K |
| ADDICTION WELLNESS CENTER VA | WARRENTON | VA | $13K |
| ADDICTION WELLNESS CENTER OK LLC | OKLAHOMA CITY | OK | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,434 | $272K |
| 2019 | 5,525 | $616K |
| 2020 | 153 | $16K |
| 2021 | 241 | $27K |
| 2022 | 158 | $18K |
| 2024 | 32 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 6,300 | 2,776 | $666K |
| 90791 | Psychiatric diagnostic evaluation | 425 | 413 | $81K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 717 | 653 | $76K |
| 90837 | Psychotherapy, 53 minutes with patient | 489 | 227 | $54K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 451 | 333 | $51K |
| 99205 | Prolong outpt/office vis | 86 | 85 | $18K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 27 | 24 | $3K |
| 90832 | Psychotherapy, 30 minutes with patient | 36 | 29 | $2K |
| 99215 | Prolong outpt/office vis | 12 | 12 | $2K |