Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

POTOMAC SHORES MENTAL HEALTH & WELLNESS LLC

NPI: 1902562507 · WOODBRIDGE, VA 22192 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 11/09/2021

$687K
Total Medicaid Paid
9,258
Total Claims
6,830
Beneficiaries
11
Codes Billed
2022-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialAYOOLA, EBUNOLA (OWNER)
NPI Enumeration Date11/09/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,661 $103K
2023 5,199 $372K
2024 2,398 $211K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,286 2,519 $244K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 3,290 2,512 $190K
90837 Psychotherapy, 53 minutes with patient 1,065 522 $130K
90792 Psychiatric diagnostic evaluation with medical services 551 434 $69K
90832 Psychotherapy, 30 minutes with patient 525 416 $30K
90791 Psychiatric diagnostic evaluation 160 116 $15K
90834 Psychotherapy, 45 minutes with patient 71 60 $5K
96136 99 94 $3K
96137 42 28 $798.49
96127 156 117 $24.30
99051 13 12 $5.00