NPI: 1619620937 · MAUMEE, OH 43537 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,539 | $179K |
| 2023 | 6,476 | $748K |
| 2024 | 11,482 | $1.61M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2020 | Ther behav svc, per diem | 9,776 | 1,845 | $1.85M |
| H2019 | Ther behav svc, per 15 min | 4,087 | 1,778 | $300K |
| H0036 | Comm psy face-face per 15min | 3,992 | 1,216 | $225K |
| 90837 | 669 | 399 | $73K | |
| 99214 | 476 | 381 | $53K | |
| 90832 | 230 | 169 | $13K | |
| 99215 | Prolong outpt/office vis | 66 | 55 | $11K |
| 90791 | 34 | 34 | $4K | |
| H0015 | Alcohol and/or drug services | 20 | 14 | $3K |
| 90792 | 12 | 12 | $2K | |
| 99204 | 16 | 14 | $1K | |
| 90834 | 16 | 15 | $1K | |
| H0048 | Spec coll non-blood:a/d test | 65 | 27 | $1K |
| 90853 | 20 | 16 | $562.40 | |
| 99415 | Prolong outpt/office vis | 18 | 12 | $10.94 |