NPI: 1780115519 · BOSTON, MA 02108 · Clinical Psychologist · NPI assigned 03/23/2017
| Authorized Official | LICHTSCHEIN, RAPHAEL (PRESIDENT) |
| NPI Enumeration Date | 03/23/2017 |
Other providers sharing the same authorized official: LICHTSCHEIN, RAPHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| SUPPORTIVE CARE OF MARYLAND LLC | RIVERDALE | MD | $601K |
| STEP UP CARE OF TENNESSEE LLC | MEMPHIS | TN | $346K |
| SUPPORTIVE CARE OF MARYLAND LLC | BALTIMORE | MD | $177K |
| SUPPORTIVE CARE OF VIRGINIA LLC | COLONIAL HEIGHTS | VA | $86K |
| SUPPORTIVE CARE OF VERMONT LLC | RICHMOND | VT | $22K |
| SUPPORTIVE CARE OF NEW HAMPSHIRE LLC | DERRY | NH | $6K |
| SUPPORTIVE CARE OF SOUTH CAROLINA LLC | MT PLEASANT | SC | $1K |
| SUPPORTIVE CARE OF MICHIGAN LLC | IRON RIVER | MI | $739.07 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,982 | $18K |
| 2022 | 3,204 | $38K |
| 2023 | 5,108 | $98K |
| 2024 | 11,584 | $332K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 11,874 | 9,085 | $372K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1,930 | 1,676 | $41K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2,010 | 1,576 | $26K |
| 90832 | Psychotherapy, 30 minutes with patient | 5,249 | 2,628 | $23K |
| 90791 | Psychiatric diagnostic evaluation | 534 | 531 | $16K |
| 99306 | Prolong nursin fac eval 15m | 163 | 163 | $5K |
| 99305 | 67 | 67 | $2K | |
| 99310 | Prolong nursin fac eval 15m | 51 | 39 | $1K |