ILLUME NORTH, LLC
NPI: 1639789019
· DULUTH, MN 55802
· Clinical Psychologist
· NPI assigned 07/31/2020
$160K
Total Medicaid Paid
Provider Details
| Authorized Official | BOVEE, SARA (OWNER) |
| NPI Enumeration Date | 07/31/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
936 |
$31K |
| 2023 |
2,212 |
$89K |
| 2024 |
1,083 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
949 |
459 |
$97K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,518 |
459 |
$32K |
| 90785 |
|
1,716 |
544 |
$28K |
| 90832 |
Psychotherapy, 30 minutes with patient |
48 |
32 |
$2K |