EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER INC.
NPI: 1134291578
· PONCA CITY, OK 74601
· 251S00000X
$204K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,073 |
$119K |
| 2019 |
823 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Mccd,maintenance rate |
716 |
646 |
$104K |
| G9009 |
Mccd, risk adj, level 3 |
133 |
117 |
$46K |
| H0004 |
Alcohol and/or drug services |
436 |
261 |
$26K |
| 99213 |
|
332 |
330 |
$19K |
| H0002 |
Alcohol and/or drug screenin |
116 |
116 |
$3K |
| H2019 |
Ther behav svc, per 15 min |
53 |
35 |
$1K |
| 99214 |
|
13 |
13 |
$1K |
| H0032 |
Mh svc plan dev by non-md |
12 |
12 |
$873.96 |
| T1017 |
Targeted case management |
23 |
20 |
$748.48 |
| H2015 |
Comp comm supp svc, 15 min |
50 |
43 |
$681.25 |
| H2017 |
Psysoc rehab svc, per 15 min |
12 |
12 |
$514.05 |