BUCK JACK LLC
NPI: 1063025138
· COLORADO SPRINGS, CO 80909
· Behavioral Analyst
· NPI assigned 08/28/2020
$259K
Total Medicaid Paid
Provider Details
| Authorized Official | DENN, TANNER (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 08/28/2020 |
Related Entities
Other providers sharing the same authorized official: DENN, TANNER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
107 |
$28K |
| 2023 |
271 |
$58K |
| 2024 |
702 |
$172K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
939 |
86 |
$231K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
141 |
36 |
$28K |