ICONICHEALTH LLC
NPI: 1972106292
· EWING, NJ 08618
· Psychiatric/Mental Health Nurse Practitioner
· NPI assigned 11/19/2020
$133K
Total Medicaid Paid
Provider Details
| Authorized Official | OLADERU, OLASUMBO (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 11/19/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,212 |
$69K |
| 2023 |
1,314 |
$42K |
| 2024 |
556 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90792 |
Psychiatric diagnostic evaluation with medical services |
198 |
117 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,038 |
826 |
$40K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
809 |
495 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,037 |
617 |
$20K |