SULLIVAN MENTAL HEALTH SERVICES LLC
NPI: 1003101577
· IDAHO FALLS, ID 83401
· Adolescent and Children Mental Health Clinic/Center
· NPI assigned 06/13/2011
$231K
Total Medicaid Paid
Provider Details
| Authorized Official | SULLIVAN, JESSIE (OWNER/THERAPIST) |
| NPI Enumeration Date | 06/13/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,244 |
$64K |
| 2019 |
1,111 |
$55K |
| 2020 |
1,848 |
$112K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
2,830 |
1,165 |
$179K |
| H0031 |
Mental health assessment, by non-physician |
145 |
141 |
$30K |
| T1017 |
Targeted case management, each 15 minutes |
282 |
90 |
$12K |
| 90837 |
Psychotherapy, 53 minutes with patient |
55 |
39 |
$5K |
| 90785 |
|
872 |
340 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
19 |
$2K |