NP / PA
Spectrum Behavioral Management Services, INC.
Spectrum Behavioral Management Services, INC. was paid $3.44M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoSPECTRUM BEHAVIORAL MANAGEMENT SERVICES, INC.
POUGHKEEPSIE, NY 12603
POUGHKEEPSIE, NY 12603
33aNPI1629051149assigned 11/29/2005
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$3.44M
24GClaims55,710
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in New York
Rank by total paid#1 of 328
Median peer was paid$7K
This provider vs. median462×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,733 | $255K | |
| 2019 | 7,165 | $414K | |
| 2020 | 8,664 | $510K | |
| 2021 | 9,232 | $545K | |
| 2022 | 10,438 | $683K | |
| 2023 | 9,036 | $582K | |
| 2024incomplete | 6,442 | $451K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31% | 15,451 | 14,308 | $1.06M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 31% | 12,686 | 7,151 | $1.05M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 14,434 | 13,607 | $652K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 9.9% | 9,499 | 8,779 | $342K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.8% | 1,512 | 1,511 | $165K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 3.2% | 963 | 962 | $109K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.4% | 723 | 423 | $48K |
| 99051 | <1% | 409 | 377 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 21 | 17 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $667.15 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHINGALA, YOGESH (CHAIRMAN)
| Provider | Location | Paid |
|---|---|---|
| Life Excel, LLC | Brick, NJ | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.