ODYSSEY HOUSE CORP
NPI: 1053750760
· SALT LAKE CITY, UT 84102
· Emotionally Disturbed Childrens' Residential Treatment Facility
· NPI assigned 06/17/2013
Provider Details
| Authorized Official | LUCHINI, MATTHEW (ACCOUNT MANAGER) |
| Parent Organization | ODYSSEY HOUSE CORP |
| NPI Enumeration Date | 06/17/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
174 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
174 |
159 |
$24K |