BALANCED WELLNESS PRIMARY CARE, LLC
NPI: 1780926774
· UNCASVILLE, CT 06382
· Family Nurse Practitioner
· NPI assigned 03/18/2013
$278K
Total Medicaid Paid
Provider Details
| Authorized Official | MAHAN, KRISTIN (OWNER) |
| NPI Enumeration Date | 03/18/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
813 |
$31K |
| 2019 |
959 |
$32K |
| 2020 |
1,565 |
$50K |
| 2021 |
949 |
$27K |
| 2022 |
1,231 |
$35K |
| 2023 |
1,453 |
$57K |
| 2024 |
939 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,099 |
2,314 |
$157K |
| 99213 |
|
3,318 |
2,521 |
$100K |
| 99215 |
Prolong outpt/office vis |
101 |
74 |
$8K |
| 96127 |
|
204 |
169 |
$4K |
| 99442 |
|
65 |
59 |
$2K |
| 99212 |
|
187 |
124 |
$2K |
| 99203 |
|
37 |
31 |
$1K |
| 36415 |
|
567 |
487 |
$1K |
| 99443 |
|
15 |
12 |
$668.96 |
| 90688 |
|
54 |
51 |
$553.04 |
| 64642 |
|
24 |
13 |
$542.78 |
| 95874 |
|
48 |
26 |
$136.66 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
16 |
12 |
$23.28 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
13 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
26 |
25 |
$0.00 |
| 99000 |
|
106 |
91 |
$0.00 |
| 90471 |
|
28 |
28 |
$0.00 |