GOFAN HEALTHCARE SERVICES LLC
NPI: 1598415218
· ORO VALLEY, AZ 85755
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 03/25/2022
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | MADU, JACINTA (OWNER) |
| NPI Enumeration Date | 03/25/2022 |
Related Entities
Other providers sharing the same authorized official: MADU, JACINTA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
117 |
$17K |
| 2023 |
1,036 |
$136K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90792 |
Psychiatric diagnostic evaluation with medical services |
615 |
612 |
$111K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
256 |
215 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
171 |
$16K |
| 99215 |
Prolong outpt/office vis |
79 |
54 |
$9K |