NPI: 1942743679 · AUGUSTA, ME 04330 · Clinical Psychologist · NPI assigned 11/29/2016
Authorized official GODFREY, ANDREA controls 18+ related entities in our dataset. Read more
| Authorized Official | GODFREY, ANDREA (CREDENTIALING & ENROLLMENT MANAGER) |
| NPI Enumeration Date | 11/29/2016 |
Other providers sharing the same authorized official: GODFREY, ANDREA
| Provider | City | State | Total Paid |
|---|---|---|---|
| MEDITELECARE OF NEW MEXICO, LLC | ESPANOLA | NM | $1.05M |
| MEDITELECARE OF WEST VIRGINIA PLLC | CHARLESTON | WV | $944K |
| MEDITELECARE OF VIRGINIA, LLC | GLEN ALLEN | VA | $835K |
| MEDOPTIONS OF NEW HAMPSHIRE LLC | CONCORD | NH | $448K |
| MEDITELECARE OF PENNSYLVANIA LLC | HARRISBURG | PA | $430K |
| MEDITELECARE OF NEW JERSEY LLC | EWING | NJ | $389K |
| MEDOPTIONS OF KENTUCKY LLC | FRANKFORT | KY | $360K |
| MEDITELECARE OF MASSACHUSETTS, PLLC | BOSTON | MA | $359K |
| MEDOPTIONS OF VERMONT LLC | BARRE | VT | $268K |
| MEDITELECARE OF IOWA PLLC | DES MOINES | IA | $227K |
| MEDOPTIONS OF OHIO LLC | COLUMBUS | OH | $205K |
| MEDITELECARE OF KANSAS LLC | TOPEKA | KS | $110K |
| MEDITELECARE OF MARYLAND LLC | BALTIMORE | MD | $103K |
| MEDITELECARE OF MISSOURI LLC | SAINT LOUIS | MO | $90K |
| MEDITELECARE OF TEXAS PLLC | DALLAS | TX | $76K |
| MEDITELECARE OF COLORADO LLC | LITTLETON | CO | $76K |
| MEDITELECARE OF RHODE ISLAND LLC | WARWICK | RI | $3K |
| BLUEWATERS COUNSELING AND COACHING | DOTHAN | AL | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,750 | $3K |
| 2019 | 423 | $3K |
| 2020 | 2,379 | $30K |
| 2021 | 2,280 | $34K |
| 2022 | 1,989 | $34K |
| 2023 | 2,416 | $45K |
| 2024 | 2,521 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4,782 | 3,369 | $124K |
| 99484 | 2,945 | 2,869 | $23K | |
| 90832 | Psychotherapy, 30 minutes with patient | 2,735 | 1,286 | $22K |
| Q3014 | Telehealth originating site facility fee | 1,854 | 1,087 | $14K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 356 | 266 | $7K |
| 99349 | 78 | 57 | $3K | |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 838 | 480 | $2K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 22 | 22 | $994.94 |
| 90791 | Psychiatric diagnostic evaluation | 47 | 41 | $855.21 |
| 96116 | 16 | 14 | $165.24 | |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | 85 | 50 | $0.00 |