ELICA HEALTH CENTERS
NPI: 1770908725
· SACRAMENTO, CA 95816
· Case Manager/Care Coordinator
· NPI assigned 02/27/2014
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BAK, TATYANA (CEO) |
| NPI Enumeration Date | 02/27/2014 |
Related Entities
Other providers sharing the same authorized official: BAK, TATYANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
257 |
$0.00 |
| 2023 |
597 |
$0.00 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90832 |
Psychotherapy, 30 minutes with patient |
565 |
514 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
185 |
185 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
80 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
24 |
24 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |