GRAPEVINE CLINICAL LLC
NPI: 1952837809
· DES MOINES, IA 50309
· Clinical Social Worker
· NPI assigned 05/11/2017
$135K
Total Medicaid Paid
Provider Details
| Authorized Official | TILLGREN, WENDY (PARTNER) |
| NPI Enumeration Date | 05/11/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
39 |
$2K |
| 2022 |
135 |
$8K |
| 2023 |
297 |
$17K |
| 2024 |
1,167 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
1,623 |
567 |
$133K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
14 |
$2K |