WELLNESS CARD LLC
NPI: 1558678151
· DAYTON, OH 45432
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 09/03/2010
$438K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: KOLACZKOWSKI, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,281 |
$71K |
| 2019 |
2,332 |
$71K |
| 2020 |
2,955 |
$100K |
| 2021 |
2,557 |
$87K |
| 2022 |
2,702 |
$86K |
| 2023 |
894 |
$15K |
| 2024 |
369 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,175 |
9,197 |
$342K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,956 |
1,152 |
$59K |
| 90834 |
Psychotherapy, 45 minutes with patient |
561 |
348 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
353 |
309 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
31 |
28 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$192.15 |