Medicaid Provider Spending

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

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC

NPI: 1124037288 · TULSA, OK 74133 · Medical Specialty Clinic/Center · NPI assigned 08/07/2006

$359K
Total Medicaid Paid
4,812
Total Claims
4,474
Beneficiaries
13
Codes Billed
2018-01
First Month
2019-06
Last Month

Provider Details

Authorized OfficialWORSHAM, SHARON (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date08/07/2006

Related Entities

Other providers sharing the same authorized official: WORSHAM, SHARON

ProviderCityStateTotal Paid
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC TULSA OK $125K
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC TULSA OK $114K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,706 $276K
2019 1,106 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99221 1,748 1,690 $140K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 820 803 $66K
99223 Prolong inpt eval add15 m 369 357 $51K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 837 824 $46K
90792 Psychiatric diagnostic evaluation with medical services 202 202 $25K
99239 Hospital discharge day management, more than 30 minutes 174 173 $10K
99231 Subsequent hospital care, per day, straightforward or low complexity 395 235 $9K
99232 Subsequent hospital care, per day, moderate complexity 109 61 $4K
99233 Prolong inpt eval add15 m 85 56 $3K
99238 Hospital discharge day management, 30 minutes or less 32 32 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $2K
99222 Initial hospital care, per day, moderate complexity 12 12 $1K
99307 14 14 $280.38