AMAZING GRACE HEALTH, LLC
NPI: 1568002160
· SAINT PAUL, MN 55104
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 01/10/2020
$594K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, VICTOR (CO-OWNER/NURSE PRACTITIONER) |
| NPI Enumeration Date | 01/10/2020 |
Related Entities
Other providers sharing the same authorized official: DAVIS, VICTOR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
128 |
$2K |
| 2021 |
5,775 |
$280K |
| 2022 |
5,659 |
$312K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99327 |
|
3,139 |
2,734 |
$279K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,045 |
2,453 |
$142K |
| 99337 |
|
1,065 |
958 |
$115K |
| 99326 |
|
255 |
221 |
$21K |
| 99406 |
|
2,562 |
2,119 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
118 |
$8K |
| 99325 |
|
134 |
124 |
$7K |
| 99336 |
|
24 |
24 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
144 |
86 |
$2K |