PURE LIGHT PSYCHIATRY LLC
NPI: 1932742988
· OLIVE BRANCH, MS 38654
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 10/22/2019
$281K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
628 |
$33K |
| 2021 |
1,286 |
$63K |
| 2022 |
1,419 |
$69K |
| 2023 |
1,200 |
$71K |
| 2024 |
653 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,126 |
1,862 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,419 |
1,287 |
$68K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,608 |
1,409 |
$65K |
| 99215 |
Prolong outpt/office vis |
33 |
31 |
$3K |