MIND BODY SPORT, LLC
NPI: 1497273916
· DENVER, CO 80224
· Registered Dietitian
· NPI assigned 09/05/2017
$1.86M
Total Medicaid Paid
7,528
Beneficiary Records
Provider Details
| Authorized Official | PALOMBO, IAN (PRESIDENT) |
| NPI Enumeration Date | 09/05/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
415 |
$31K |
| 2021 |
1,574 |
$137K |
| 2022 |
3,268 |
$328K |
| 2023 |
7,674 |
$806K |
| 2024 |
4,995 |
$560K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
15,259 |
5,348 |
$1.71M |
| H0031 |
Mental health assessment, by non-physician |
1,025 |
801 |
$76K |
| H0032 |
Mental health service plan development by non-physician |
742 |
616 |
$35K |
| 90791 |
Psychiatric diagnostic evaluation |
234 |
198 |
$32K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
582 |
500 |
$12K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
84 |
65 |
$940.00 |