Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ELITE PSYCHIATRY PC

NPI: 1952888265 · ARLINGTON, TX 76018 · Addiction Psychiatry Physician · NPI assigned 07/20/2018

$31K
Total Medicaid Paid
709
Total Claims
595
Beneficiaries
5
Codes Billed
2019-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMODISETTE, RAVEN (C.E.O)
NPI Enumeration Date07/20/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 58 $3K
2020 74 $2K
2021 55 $2K
2022 45 $929.76
2023 369 $18K
2024 108 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 504 410 $21K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 156 138 $8K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 20 18 $422.28
99342 17 17 $56.56