DANIELLE GANGE, NP-C

$55K

Total Medicaid Paid

2,762

Total Claims

1,659

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-11

Last Month

Authorized Official	GANGE, DANIELLE (OWNER)
NPI Enumeration Date	10/24/2015

Year	Claims	Total Paid
2018	2,762	$55K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,481	1,080	$27K
90837	Psychotherapy, 53 minutes with patient	959	363	$23K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	148	99	$3K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	123	87	$2K
99215	Prolong outpt/office vis	51	30	$983.64

Medicaid Provider Spending