COLORADO PSYCH CLINIC LLC
NPI: 1851032643
· COLORADO SPRINGS, CO 80919
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 04/05/2022
Deactivated NPI
· This NPI was deactivated on 04/03/2024. Reactivated 04/19/2024.
$798K
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, JACOB (OWNER/CEO) |
| NPI Enumeration Date | 04/05/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
695 |
$57K |
| 2023 |
5,772 |
$406K |
| 2024 |
4,209 |
$335K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,131 |
3,575 |
$440K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
4,082 |
3,084 |
$209K |
| 99205 |
Prolong outpt/office vis |
481 |
438 |
$66K |
| 99215 |
Prolong outpt/office vis |
446 |
168 |
$55K |
| 90838 |
|
154 |
94 |
$14K |
| 90837 |
Psychotherapy, 53 minutes with patient |
229 |
59 |
$13K |
| 96127 |
|
153 |
104 |
$47.88 |