WAYNE PROVISION
NPI: 1760903066
· WAYNESBORO, TN 38485
· Community/Behavioral Health Agency
· NPI assigned 06/28/2017
$130K
Total Medicaid Paid
Provider Details
| Authorized Official | CREWS, JASON (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/28/2017 |
Related Entities
Other providers sharing the same authorized official: CREWS, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,209 |
$10K |
| 2020 |
3,573 |
$90K |
| 2021 |
1,049 |
$25K |
| 2022 |
201 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
3,538 |
852 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
876 |
658 |
$22K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,587 |
540 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
17 |
$769.76 |
| 90832 |
Psychotherapy, 30 minutes with patient |
12 |
12 |
$247.95 |