ODONATA PSYCHOTHERAPY & RETREAT CENTER LLC
NPI: 1902285414
· BUZZARDS BAY, MA 02532
· Clinical Social Worker
· NPI assigned 05/29/2015
$165K
Total Medicaid Paid
Provider Details
| Authorized Official | WILEY, NANCY (OWNER) |
| NPI Enumeration Date | 05/29/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,515 |
$165K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
1,639 |
768 |
$127K |
| 90832 |
Psychotherapy, 30 minutes with patient |
320 |
238 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
100 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
79 |
76 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
220 |
122 |
$6K |
| 90882 |
|
129 |
109 |
$3K |