BRIDGEWAY CLINICS LLC
NPI: 1609510809
· INDEPENDENCE, MO 64055
· Behavioral Neurology & Neuropsychiatry Physician
· NPI assigned 04/24/2022
$258K
Total Medicaid Paid
Provider Details
| Authorized Official | HALE, SHEILA (DIRECTOR OF FINANCE) |
| NPI Enumeration Date | 04/24/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
44 |
$5K |
| 2023 |
1,376 |
$152K |
| 2024 |
915 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
1,203 |
567 |
$144K |
| 99215 |
Prolong outpt/office vis |
637 |
284 |
$62K |
| 90791 |
Psychiatric diagnostic evaluation |
167 |
159 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
250 |
199 |
$21K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
63 |
60 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$153.28 |