Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LIFESOURCE OF NORTH CAROLINA

NPI: 1619515277 · HOLLAND, OH 43528 · Nurse Practitioner · NPI assigned 12/13/2019

$25K
Total Medicaid Paid
1,960
Total Claims
1,375
Beneficiaries
11
Codes Billed
2020-12
First Month
2023-08
Last Month

Provider Details

Authorized OfficialBADDOUR, PEGGY (PRESIDENT)
NPI Enumeration Date12/13/2019

Related Entities

Other providers sharing the same authorized official: BADDOUR, PEGGY

ProviderCityStateTotal Paid
LIFESOURCE OF NORTH CAROLINA WILMINGTON NC $5.71M
LIFESOURCE OF NORTH CAROLINA CLINTON SC $3.07M
LIFESOURCE OF NORTH CAROLINA PIKEVILLE KY $307K
LIFESOURCE OF NORTH CAROLINA RICHMOND VA $74K
LIFESOURCE OF NORTH CAROLINA CEDAR FALLS IA $38K
LIFESOURCE OF NORTH CAROLINA MILWAUKEE WI $27K
LIFESOURCE OF NORTH CAROLINA NORTH PLATTE NE $22K
LIFESOURCE OF NORTH CAROLINA MILTON FL $17K
LIFESOURCE OF NORTH CAROLINA IRONDALE AL $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 19 $184.49
2021 645 $7K
2022 1,105 $15K
2023 191 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90834 Psychotherapy, 45 minutes with patient 495 301 $10K
90832 Psychotherapy, 30 minutes with patient 656 408 $9K
99309 Subsequent nursing facility care, per day, low to moderate complexity 369 346 $2K
90837 Psychotherapy, 53 minutes with patient 72 40 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 13 $931.07
99308 Subsequent nursing facility care, per day, straightforward 115 105 $566.93
99310 Prolong nursin fac eval 15m 57 57 $398.71
90791 Psychiatric diagnostic evaluation 31 12 $384.93
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19 14 $184.49
Q3014 Telehealth originating site facility fee 103 52 $104.75
99307 30 27 $36.22