MOUNTAIN INTERVAL, LLC
NPI: 1023324076
· LAS VEGAS, NV 89103
· Community/Behavioral Health Agency
· NPI assigned 08/28/2010
$412K
Total Medicaid Paid
Provider Details
| Authorized Official | CLARK, DAVID (MANAGING PARTNER) |
| NPI Enumeration Date | 08/28/2010 |
Related Entities
Other providers sharing the same authorized official: CLARK, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
4,018 |
$321K |
| 2019 |
1,113 |
$83K |
| 2020 |
240 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
2,068 |
185 |
$226K |
| H2014 |
Skills training and development, per 15 minutes |
2,328 |
218 |
$102K |
| 90876 |
|
506 |
154 |
$47K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
262 |
31 |
$19K |
| 90837 |
Psychotherapy, 53 minutes with patient |
168 |
68 |
$17K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
39 |
31 |
$1K |