GREAT LAKES BEHAVIORAL SERVICES
NPI: 1144818295
· SOUTH BEND, IN 46617
· Behavioral Analyst
· NPI assigned 01/05/2021
$305K
Total Medicaid Paid
Provider Details
| Authorized Official | BRADLEY, SHANTI (CO-CLINICAL DIRECTOR) |
| NPI Enumeration Date | 01/05/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,186 |
$305K |
| 2022 |
31 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
1,160 |
109 |
$301K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
26 |
12 |
$4K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
31 |
13 |
$0.00 |