BLUE WATER MENTAL HEALTH CLINIC
NPI: 1457305419
· FORT GRATIOT, MI 48059
· Clinical Psychologist
· NPI assigned 05/22/2006
$4.15M
Total Medicaid Paid
Provider Details
| Authorized Official | LIETHEN, LINDA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/22/2006 |
Related Entities
Other providers sharing the same authorized official: LIETHEN, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,713 |
$402K |
| 2019 |
5,292 |
$377K |
| 2020 |
12,300 |
$523K |
| 2021 |
9,860 |
$645K |
| 2022 |
9,391 |
$734K |
| 2023 |
9,787 |
$714K |
| 2024 |
9,660 |
$754K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
42,736 |
19,491 |
$3.35M |
| 90791 |
Psychiatric diagnostic evaluation |
2,048 |
2,017 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,091 |
2,940 |
$194K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,415 |
1,656 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,910 |
2,617 |
$136K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
466 |
443 |
$45K |
| 99215 |
Prolong outpt/office vis |
578 |
540 |
$45K |
| Q3014 |
Telehealth originating site facility fee |
7,263 |
3,202 |
$24K |
| 90832 |
Psychotherapy, 30 minutes with patient |
375 |
309 |
$15K |
| 99454 |
|
27 |
26 |
$874.56 |
| 99457 |
|
27 |
26 |
$740.87 |
| 90785 |
|
67 |
63 |
$435.40 |