KLARISANA PHYSICIAN SERVICES PLLC
NPI: 1902418965
· THORNTON, CO 80229
· General Practice Physician
· NPI assigned 08/20/2020
$2.19M
Total Medicaid Paid
Provider Details
| Authorized Official | BONNETT, CARL (MEDICAL DIRECTOR) |
| Parent Organization | KLARISANA PHYSICIAN SERVICES PLLC |
| NPI Enumeration Date | 08/20/2020 |
Related Entities
Other providers sharing the same authorized official: BONNETT, CARL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
108 |
$10K |
| 2021 |
5,429 |
$505K |
| 2022 |
5,913 |
$440K |
| 2023 |
9,842 |
$787K |
| 2024 |
4,887 |
$446K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
8,177 |
6,420 |
$1.07M |
| 99417 |
Prolong home eval add 15m |
7,451 |
5,994 |
$601K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,508 |
5,867 |
$207K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,990 |
994 |
$200K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
471 |
368 |
$46K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
279 |
273 |
$38K |
| 90838 |
|
123 |
86 |
$12K |
| 90791 |
Psychiatric diagnostic evaluation |
79 |
74 |
$10K |
| 99354 |
|
89 |
70 |
$6K |
| 96130 |
|
12 |
12 |
$2K |