LAZULI THERAPEUTICS, LLC
NPI: 1538633987
· ALBUQUERQUE, NM 87109
· Family Nurse Practitioner
· NPI assigned 01/18/2019
$269K
Total Medicaid Paid
Provider Details
| Authorized Official | MUGAVIN, MARIE (OWNER) |
| NPI Enumeration Date | 01/18/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
457 |
$28K |
| 2020 |
1,158 |
$70K |
| 2021 |
824 |
$48K |
| 2022 |
738 |
$49K |
| 2023 |
537 |
$37K |
| 2024 |
397 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,022 |
1,864 |
$157K |
| 90836 |
|
1,116 |
1,079 |
$69K |
| Q3014 |
Telehealth originating site facility fee |
520 |
502 |
$17K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
289 |
283 |
$13K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
86 |
86 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
75 |
$4K |