TIDEMARK INTERVENTION SERVICES
NPI: 1720595242
· BALTIMORE, MD 21224
· Clinical Social Worker
· NPI assigned 01/05/2018
$444K
Total Medicaid Paid
Provider Details
| Authorized Official | LAXTON, RYNE (CEO) |
| NPI Enumeration Date | 01/05/2018 |
Related Entities
Other providers sharing the same authorized official: LAXTON, RYNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
678 |
$48K |
| 2021 |
2,620 |
$184K |
| 2022 |
2,617 |
$210K |
| 2023 |
17 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,364 |
1,945 |
$355K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,256 |
778 |
$56K |
| 90791 |
Psychiatric diagnostic evaluation |
194 |
193 |
$28K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
104 |
49 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
14 |
$2K |