FAIRWAY BEHAVIORAL HEALTH, LLC
NPI: 1780328344
· WILMINGTON, OH 45177
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 04/20/2022
$230K
Total Medicaid Paid
Provider Details
| Authorized Official | VAUGHAN, POLLY (CEO) |
| NPI Enumeration Date | 04/20/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
761 |
$20K |
| 2023 |
2,189 |
$84K |
| 2024 |
2,355 |
$126K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,299 |
1,549 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,280 |
908 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,425 |
1,027 |
$53K |
| 90836 |
|
301 |
227 |
$17K |