UNISON BEHAVIORAL HEALTH GROUP, INC.

$61K

Total Medicaid Paid

1,147

Total Claims

1,036

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-11

Last Month

Authorized Official	WEISS, COURTNEY (COO)
NPI Enumeration Date	08/25/2011

Year	Claims	Total Paid
2018	1,147	$61K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	871	781	$56K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	83	74	$4K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$635.36
99406		52	49	$480.93
36415	Collection of venous blood by venipuncture	129	120	$283.50

Medicaid Provider Spending