PSYCHOSOCIAL BOUTIQUE, PLLC.
NPI: 1841846904
· HORN LAKE, MS 38637
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 08/14/2019
$217K
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, SYRENIA (OWNER/PRACTITIONER) |
| NPI Enumeration Date | 08/14/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$1K |
| 2023 |
3,973 |
$120K |
| 2024 |
2,524 |
$96K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
1,035 |
484 |
$90K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,660 |
1,049 |
$62K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,100 |
540 |
$41K |
| 90791 |
Psychiatric diagnostic evaluation |
289 |
269 |
$18K |
| 90887 |
|
214 |
108 |
$5K |
| T1017 |
Targeted case management, each 15 minutes |
213 |
115 |
$0.00 |