CAMP-GRIMIT PETERSEN LLC
NPI: 1922532324
· BENNINGTON, NE 68007
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 04/12/2017
$572K
Total Medicaid Paid
6,771
Beneficiary Records
Provider Details
| Authorized Official | PETERSEN, MOLLY (CO-OWNER) |
| NPI Enumeration Date | 04/12/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
680 |
$31K |
| 2019 |
1,146 |
$52K |
| 2020 |
1,121 |
$68K |
| 2021 |
1,528 |
$121K |
| 2022 |
1,155 |
$96K |
| 2023 |
1,298 |
$122K |
| 2024 |
1,068 |
$81K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,891 |
4,340 |
$329K |
| 90834 |
Psychotherapy, 45 minutes with patient |
966 |
564 |
$109K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,842 |
1,666 |
$87K |
| 90837 |
Psychotherapy, 53 minutes with patient |
256 |
161 |
$41K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$3K |
| 90836 |
|
29 |
28 |
$3K |