Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

REVITALIZED BEHAVIORAL HEALTHCARE, LLC

NPI: 1104453117 · TOLEDO, OH 43615 · Community/Behavioral Health Agency · NPI assigned 03/27/2020

$40K
Total Medicaid Paid
269
Total Claims
25
Beneficiaries
1
Codes Billed
2021-05
First Month
2021-06
Last Month

Provider Details

Authorized OfficialNANCE, SAMANTHA (OWNER)
NPI Enumeration Date03/27/2020

Related Entities

Other providers sharing the same authorized official: NANCE, SAMANTHA

ProviderCityStateTotal Paid
REVITALIZED BEHAVIORAL HEALTHCARE, LLC TOLEDO OH $1.21M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 269 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 269 25 $40K