NPI: 1801485354 · COLONIAL HEIGHTS, VA 23834 · Clinical Psychologist · NPI assigned 01/11/2021
| Authorized Official | LICHTSCHEIN, RAPHAEL (PRESIDENT) |
| NPI Enumeration Date | 01/11/2021 |
Other providers sharing the same authorized official: LICHTSCHEIN, RAPHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| SUPPORTIVE CARE OF MARYLAND LLC | RIVERDALE | MD | $601K |
| SUPPORTIVE BEHAVIORAL CARE OF MA LLC | BOSTON | MA | $486K |
| STEP UP CARE OF TENNESSEE LLC | MEMPHIS | TN | $346K |
| SUPPORTIVE CARE OF MARYLAND LLC | BALTIMORE | MD | $177K |
| 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 | 1,094 | $3K |
| 2022 | 4,091 | $27K |
| 2023 | 1,178 | $19K |
| 2024 | 2,838 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes with patient | 4,136 | 1,942 | $48K |
| 90791 | Psychiatric diagnostic evaluation | 719 | 685 | $20K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 718 | 543 | $6K |
| 90785 | 2,451 | 1,026 | $4K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 372 | 230 | $3K |
| 99305 | 87 | 81 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 253 | 171 | $2K |
| 99306 | Prolong nursin fac eval 15m | 31 | 28 | $562.74 |
| Q3014 | Telehealth originating site facility fee | 303 | 226 | $558.67 |
| 99310 | Prolong nursin fac eval 15m | 131 | 85 | $160.91 |