ADLY THEBAUD,MD,PA
NPI: 1417018482
· ORANGE CITY, FL 32763
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 12/13/2006
$1.86M
Total Medicaid Paid
Provider Details
| Authorized Official | THEBAUD, ADLY (OWNER) |
| NPI Enumeration Date | 12/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
4,474 |
$303K |
| 2020 |
5,234 |
$327K |
| 2021 |
6,088 |
$388K |
| 2022 |
5,025 |
$350K |
| 2023 |
3,898 |
$300K |
| 2024 |
1,858 |
$188K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
20,686 |
18,690 |
$1.29M |
| H2000 |
Comprehensive multidisciplinary evaluation |
1,597 |
1,538 |
$315K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,899 |
2,736 |
$212K |
| H0031 |
Mental health assessment, by non-physician |
281 |
279 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
93 |
$19.21 |