UTE PASS PSYCHOLOGICAL CONSULTATION
NPI: 1619502838
· WOODLAND PARK, CO 80863
· 103T00000X
$399K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
197 |
$16K |
| 2022 |
2,296 |
$144K |
| 2023 |
3,763 |
$224K |
| 2024 |
308 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96112 |
|
993 |
283 |
$84K |
| 96132 |
|
790 |
178 |
$51K |
| 96133 |
|
718 |
165 |
$47K |
| 96137 |
|
978 |
235 |
$41K |
| 90791 |
|
403 |
303 |
$37K |
| 96136 |
|
999 |
235 |
$36K |
| 96130 |
|
376 |
198 |
$32K |
| 96116 |
|
359 |
169 |
$25K |
| 90887 |
|
228 |
136 |
$22K |
| 90834 |
|
230 |
141 |
$7K |
| H0002 |
Alcohol and/or drug screenin |
246 |
196 |
$4K |
| 96131 |
|
53 |
15 |
$4K |
| 90847 |
|
78 |
48 |
$3K |
| H0031 |
Mh health assess by non-md |
20 |
12 |
$1K |
| 96113 |
|
22 |
12 |
$1K |
| 90846 |
|
15 |
12 |
$993.84 |
| 90837 |
|
39 |
27 |
$906.45 |
| H0032 |
Mh svc plan dev by non-md |
17 |
13 |
$495.04 |