MONTGOMERY, KELLY
NPI: 1609466770
· MEDINA, OH 44256
· Family Nurse Practitioner
· NPI assigned 01/22/2021
$896.65
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
32 |
$896.65 |
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 |
17 |
13 |
$584.84 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
15 |
12 |
$311.81 |