TELADOC BEHAVIORAL HEALTH
NPI: 1699146456
· LEWISVILLE, TX 75057
· Psychologist
· NPI assigned 10/19/2015
$2.65M
Total Medicaid Paid
Provider Details
| Authorized Official | DAHL, SARA (CLAIMS MANAGER) |
| NPI Enumeration Date | 10/19/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,095 |
$263K |
| 2021 |
13,141 |
$1.06M |
| 2022 |
10,523 |
$791K |
| 2023 |
6,401 |
$440K |
| 2024 |
1,539 |
$99K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
24,054 |
10,377 |
$1.77M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,670 |
6,552 |
$583K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,322 |
2,282 |
$272K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
422 |
409 |
$21K |
| 99080 |
|
231 |
119 |
$0.00 |