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LUPINE MENTAL HEALTH AND INTEGRATIVE PSYCHIATRY LLC
LUPINE MENTAL HEALTH AND INTEGRATIVE PSYCHIATRY LLC
NPI: 1871103127
· JACKSON, WY 83001
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 08/02/2020
$821.50
Total Medicaid Paid
Provider Details
| Authorized Official | WOLFF, SUSAN (PSYCHIATRIC NURSE PRACTITIONER) |
| NPI Enumeration Date | 08/02/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
15 |
$821.50 |
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 |
15 |
13 |
$821.50 |