Medicaid Provider Spending

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

FAMILY AND CHILDREN BEHAVIORAL HEALTH PC

NPI: 1447391495 · FORT WAYNE, IN 46804 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 02/11/2007

$30K
Total Medicaid Paid
562
Total Claims
528
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-08
Last Month

Provider Details

Authorized OfficialMUMTAZ, SYED (PRESIDENT)
NPI Enumeration Date02/11/2007

Related Entities

Other providers sharing the same authorized official: MUMTAZ, SYED

ProviderCityStateTotal Paid
SYED TARIQ MUMTAZ M D P A KISSIMMEE FL $785.64

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 562 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 387 364 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 161 151 $11K
90792 Psychiatric diagnostic evaluation with medical services 14 13 $1K