FORT WAYNE NEUROPSYCHOLOGY LLC
NPI: 1871032862
· FORT WAYNE, IN 46815
· Psychologist
· NPI assigned 02/23/2017
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIAMS, TASHA (VICE PRESIDENT) |
| NPI Enumeration Date | 02/23/2017 |
Related Entities
Other providers sharing the same authorized official: WILLIAMS, TASHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
191 |
$9K |
| 2019 |
245 |
$18K |
| 2020 |
151 |
$10K |
| 2021 |
360 |
$21K |
| 2022 |
369 |
$23K |
| 2023 |
762 |
$41K |
| 2024 |
495 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90791 |
Psychiatric diagnostic evaluation |
1,372 |
1,149 |
$91K |
| 96139 |
|
341 |
203 |
$32K |
| 96132 |
|
332 |
242 |
$16K |
| 96133 |
|
171 |
128 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
36 |
17 |
$3K |
| 96138 |
|
226 |
159 |
$3K |
| 96118 |
|
15 |
12 |
$242.51 |
| 99072 |
|
80 |
73 |
$0.00 |