A provider with the NPI, 1770533838, could not be located.
175 E DELAWARE PL
CHICAGO, IL
NPI: 1770533838
Provider Type: Obstetrics/Gynecology
Entity Type: I
Psychiatric diagnostic evaluation
HCPCS Code: 90791
HCPCS product/service is a drug?: No
Place of Service: O
96
Number of Services
76
Number of Beneficiaries
$165.00
Average Submitted Charge
$160.25
Average Medicare Allowed Amount
$112.56
Average Medicare Payment
Psychotherapy, 30 minutes with patient and/or family member
HCPCS Code: 90832
HCPCS product/service is a drug?: No
Place of Service: O
465
Number of Services
63
Number of Beneficiaries
$75.00
Average Submitted Charge
$66.65
Average Medicare Allowed Amount
$41.52
Average Medicare Payment
Group psychotherapy
HCPCS Code: 90853
HCPCS product/service is a drug?: No
Place of Service: O
7155
Number of Services
139
Number of Beneficiaries
$35.00
Average Submitted Charge
$26.37
Average Medicare Allowed Amount
$16.30
Average Medicare Payment