NPI: 1750524781 · BLUE RIDGE, GA 30513 · Clinical Psychologist · NPI assigned 04/06/2009
| Authorized Official | RAQUE, KYLE (REGISTERED AGENT/OWNER) |
| NPI Enumeration Date | 04/06/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 51 | $4K |
| 2019 | 19 | $2K |
| 2021 | 26 | $2K |
| 2023 | 109 | $5K |
| 2024 | 249 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | 454 | 214 | $35K |