LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC
NPI: 1912518952
· TEMPLE HILLS, MD 20748
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 08/13/2020
$172K
Total Medicaid Paid
Provider Details
| Authorized Official | NWAULU, CHUKS (OWNER OF THE ENTITY) |
| NPI Enumeration Date | 08/13/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
105 |
$10K |
| 2024 |
1,483 |
$162K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
965 |
269 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
591 |
490 |
$77K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
32 |
27 |
$2K |