CLARK COUNTY MEDICAL GROUP LLC
NPI: 1871094862
· LAS VEGAS, NV 89169
· Behavioral Analyst
· NPI assigned 02/24/2018
$490K
Total Medicaid Paid
Provider Details
| Authorized Official | DALOPE, ELSIE (CEO) |
| NPI Enumeration Date | 02/24/2018 |
Related Entities
Other providers sharing the same authorized official: DALOPE, ELSIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
359 |
$17K |
| 2019 |
810 |
$56K |
| 2020 |
8,075 |
$416K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90876 |
|
4,124 |
509 |
$349K |
| Q3014 |
Telehealth originating site facility fee |
2,866 |
324 |
$45K |
| 95816 |
|
166 |
113 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
320 |
309 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
243 |
$12K |
| 92585 |
|
202 |
149 |
$11K |
| 96132 |
|
203 |
150 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
163 |
160 |
$9K |
| 96136 |
|
203 |
150 |
$4K |
| 96137 |
|
203 |
150 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
20 |
$3K |
| 93040 |
|
165 |
112 |
$816.48 |
| 99349 |
|
12 |
12 |
$446.46 |
| G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
34 |
34 |
$297.54 |
| 95930 |
|
163 |
111 |
$40.80 |
| 95957 |
|
129 |
77 |
$0.00 |