CENTER STATE WELLNESS LLC
NPI: 1689235319
· CONCORD, NH 03301
· Family Nurse Practitioner
· NPI assigned 06/24/2019
$476K
Total Medicaid Paid
Provider Details
| Authorized Official | HOWARD, RUSSELL (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 06/24/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
477 |
$20K |
| 2021 |
1,923 |
$90K |
| 2022 |
1,591 |
$89K |
| 2023 |
2,075 |
$117K |
| 2024 |
2,850 |
$160K |
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 |
8,315 |
6,416 |
$443K |
| 99215 |
Prolong outpt/office vis |
374 |
264 |
$18K |
| 99205 |
Prolong outpt/office vis |
182 |
169 |
$13K |
| 96136 |
|
26 |
24 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
19 |
12 |
$433.26 |