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SOUTHERN PLAINS BEHAVIORAL HEALTH SERVICES INC
SOUTHERN PLAINS BEHAVIORAL HEALTH SERVICES INC
NPI: 1043350440
· WINNER, SD 57580
· Community/Behavioral Health Agency
· NPI assigned 02/07/2007
$6.74M
Total Medicaid Paid
Provider Details
| Authorized Official | FORTUNA, SANDRA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 02/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,095 |
$948K |
| 2019 |
11,720 |
$995K |
| 2020 |
8,874 |
$705K |
| 2021 |
8,616 |
$815K |
| 2022 |
10,975 |
$1.00M |
| 2023 |
11,030 |
$1.09M |
| 2024 |
9,998 |
$1.19M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2021 |
Community-based wrap-around services, per 15 minutes |
47,596 |
15,211 |
$4.33M |
| H2016 |
Comprehensive community support services, per diem |
18,525 |
6,645 |
$1.70M |
| 90863 |
|
5,645 |
5,301 |
$694K |
| 99412 |
|
141 |
45 |
$10K |
| Q3014 |
Telehealth originating site facility fee |
380 |
292 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
19 |
$4K |