GAUDENZIA DRC INC
NPI: 1043434608
· PHILADELPHIA, PA 19129
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 04/12/2007
$564K
Total Medicaid Paid
Provider Details
| Authorized Official | MOYLE, MICHAEL (DIR. FISCAL & CORPORATE OPERASTIONS) |
| NPI Enumeration Date | 04/12/2007 |
Related Entities
Other providers sharing the same authorized official: MOYLE, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
623 |
$71.20 |
| 2021 |
4,355 |
$114K |
| 2022 |
2,500 |
$223K |
| 2023 |
1,197 |
$119K |
| 2024 |
1,223 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
598 |
598 |
$404K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,504 |
1,555 |
$79K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,507 |
1,515 |
$70K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
289 |
278 |
$12K |