NPI: 1700364031 · NEW CASTLE, DE 19720 · Student Health Clinic/Center · NPI assigned 07/30/2018
| Authorized Official | WATSON, FORREST (CEO) |
| Parent Organization | THE LIFE CENTER COMPLEX, INC. |
| NPI Enumeration Date | 07/30/2018 |
Other providers sharing the same authorized official: WATSON, FORREST
| Provider | City | State | Total Paid |
|---|---|---|---|
| THE LIFE CENTER COMPLEX, INC | WILMINGTON | DE | $2.74M |
| THE LIFE CENTER COMPLEX, INC | WILMINGTON | DE | $1.91M |
| THE LIFE CENTER COMPLEX, INC | WILMINGTON | DE | $1.75M |
| THE LIFE CENTER COMPLEX, INC | NEW CASTLE | DE | $491K |
| THE LIFE CENTER COMPLEX, INC | NEW CASTLE | DE | $482K |
| THE LIFE CENTER COMPLEX, INC | NEW CASTLE | DE | $339K |
| THE LIFE CENTER COMPLEX, INC | NEW CASTLE | DE | $290K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 483 | $0.00 |
| 2019 | 29,525 | $79K |
| 2020 | 4,759 | $145K |
| 2021 | 1,563 | $60K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 17,759 | 1,182 | $283K |
| Q3014 | Telehealth originating site facility fee | 1,387 | 385 | $1K |
| 90832 | Psychotherapy, 30 minutes with patient | 7,847 | 678 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 8,056 | 703 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 1,143 | 154 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 94 | 41 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 22 | 16 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22 | 16 | $0.00 |