ADDICTION WELLNESS CENTER IN LLC
NPI: 1720703382
· JEFFERSONVILLE, IN 47130
· Adult Health Nurse Practitioner
· NPI assigned 10/06/2022
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COSTLEY, JESSIE controls 17+ related entities in our dataset. Read more
$1.37M
Total Medicaid Paid
Provider Details
| Authorized Official | COSTLEY, JESSIE (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 10/06/2022 |
Related Entities
Other providers sharing the same authorized official: COSTLEY, JESSIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,525 |
$135K |
| 2024 |
18,887 |
$1.23M |
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 |
8,841 |
3,756 |
$656K |
| 99215 |
Prolong outpt/office vis |
2,800 |
1,200 |
$284K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
6,658 |
2,700 |
$272K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,070 |
985 |
$102K |
| 99205 |
Prolong outpt/office vis |
237 |
213 |
$31K |
| 90836 |
|
398 |
379 |
$24K |
| 99406 |
|
376 |
290 |
$406.16 |
| 99407 |
|
32 |
31 |
$84.60 |