MARY MATTISON-WYNN, PSY D LP
Psychologist · BUFFALO, MN
Individual Active NPI 1649202755
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 23 | 545 | $91,075 | $56,497 | $44,014 |
| 2023 | 20 | 357 | $67,025 | $41,159 | $32,114 |
| 2022 | 27 | 323 | $66,050 | $45,102 | $35,406 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 11 | $167 | $123 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Psychologist | 103T00000X | ✓ | LP4961 | MN |
| Clinical Psychologist | 103TC0700X | 4961 | MN | |
| Psychologist | 103T00000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- No
- Power mobility
- No
- Hospice
- No
Other Psychologist providers in Minnesota
- NPI 1568564078
- NPI 1811928211
- NPI 1750483269
- NPI 1912591777
- NPI 1235231754
- NPI 1548368582
- NPI 1801994843
- NPI 1356449391
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.