NPI: 1730648288 · MILTON, FL 32570 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 03/14/2019
| Authorized Official | BADDOUR, PEGGY (PRESIDENT) |
| NPI Enumeration Date | 03/14/2019 |
Other providers sharing the same authorized official: BADDOUR, PEGGY
| Provider | City | State | Total Paid |
|---|---|---|---|
| LIFESOURCE OF NORTH CAROLINA | WILMINGTON | NC | $5.71M |
| LIFESOURCE OF NORTH CAROLINA | CLINTON | SC | $3.07M |
| LIFESOURCE OF NORTH CAROLINA | PIKEVILLE | KY | $307K |
| LIFESOURCE OF NORTH CAROLINA | RICHMOND | VA | $74K |
| LIFESOURCE OF NORTH CAROLINA | CEDAR FALLS | IA | $38K |
| LIFESOURCE OF NORTH CAROLINA | MILWAUKEE | WI | $27K |
| LIFESOURCE OF NORTH CAROLINA | HOLLAND | OH | $25K |
| LIFESOURCE OF NORTH CAROLINA | NORTH PLATTE | NE | $22K |
| LIFESOURCE OF NORTH CAROLINA | IRONDALE | AL | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 203 | $98.79 |
| 2020 | 821 | $1K |
| 2021 | 133 | $261.06 |
| 2022 | 1,340 | $3K |
| 2023 | 1,775 | $10K |
| 2024 | 246 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 943 | 550 | $9K |
| 90832 | Psychotherapy, 30 minutes with patient | 2,733 | 833 | $7K |
| 90834 | Psychotherapy, 45 minutes with patient | 109 | 44 | $355.80 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 49 | 26 | $143.73 |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 24 | 15 | $88.33 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 55 | 41 | $85.47 |
| 90785 | 393 | 141 | $28.72 | |
| Q3014 | Telehealth originating site facility fee | 174 | 93 | $0.00 |
| 99305 | 38 | 16 | $0.00 |