SEQUEL ALLIANCE FAMILY SERVICES, LLC

NPI: 1033532288 · RENO, NV 89509 · Mental Health Counselor · NPI assigned 01/23/2014

$114K

Total Medicaid Paid

2,007

Total Claims

1,848

Beneficiaries

Codes Billed

2018-01

First Month

2019-02

Last Month

Provider Details

Authorized Official	CAUDLE, MARY (CBO DIRECTOR OF PATIENT ACCOUNTS)
Parent Organization	SEQUEL TSI HOLDING, LLC
NPI Enumeration Date	01/23/2014

Other providers sharing the same authorized official: CAUDLE, MARY

Provider	City	State	Total Paid
SEQUEL ALLIANCE FAMILY SERVICES, LLC	COEUR D ALENE	ID	$4.63M
SEQUEL OF KANSAS, LLC	GODDARD	KS	$58K

Year	Claims	Total Paid
2018	1,915	$107K
2019	92	$7K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	495	482	$50K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	497	473	$25K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	389	388	$12K
90834	Psychotherapy, 45 minutes with patient	168	83	$10K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	86	85	$6K
90847	Family psychotherapy with the patient present, 50 minutes	42	25	$4K
90791	Psychiatric diagnostic evaluation	61	45	$4K
90785		269	267	$3K