SUPPORTIVE CARE OF MARYLAND LLC
NPI: 1679162150
· BALTIMORE, MD 21211
· Clinical Psychologist
· NPI assigned 01/11/2021
$177K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: LICHTSCHEIN, RAPHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
400 |
$13K |
| 2022 |
1,159 |
$70K |
| 2023 |
1,357 |
$91K |
| 2024 |
38 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,967 |
708 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
290 |
276 |
$29K |
| 90832 |
Psychotherapy, 30 minutes with patient |
529 |
314 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
42 |
$7K |
| 99215 |
Prolong outpt/office vis |
69 |
28 |
$6K |
| 99205 |
Prolong outpt/office vis |
18 |
13 |
$2K |