CHILD AND ADOLESCENT CLINIC
NPI: 1134657778
· LONGVIEW, WA 98632
· Case Manager/Care Coordinator
· NPI assigned 05/26/2017
$1.36M
Total Medicaid Paid
Provider Details
| Authorized Official | PEDERSEN, CHELSAY (CREDENTIALING SPECIALIST) |
| Parent Organization | CHILD AND ADOLESCENT CLINIC |
| NPI Enumeration Date | 05/26/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
434 |
$76K |
| 2020 |
1,431 |
$242K |
| 2021 |
1,493 |
$283K |
| 2022 |
1,432 |
$314K |
| 2023 |
1,165 |
$253K |
| 2024 |
939 |
$190K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9149 |
National committee for quality assurance - level 2 medical home |
5,155 |
5,151 |
$1.13M |
| G9150 |
National committee for quality assurance - level 3 medical home |
1,739 |
1,738 |
$223K |