SEQUEL TSI OF IDAHO, LLC
NPI: 1073843868
· MOUNTAIN HOME, ID 83647
· 322D00000X
$3.68M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
54 |
$196K |
| 2019 |
473 |
$825K |
| 2020 |
842 |
$1.79M |
| 2021 |
438 |
$871K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5145 |
Child fostercare th per diem |
1,687 |
602 |
$3.37M |
| H0018 |
Alcohol and/or drug services |
120 |
42 |
$318K |