ROSECRANCE NEW LIFE OUTPATIENT CENTER
NPI: 1154490985
· DAVENPORT, IA 52807
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 11/07/2006
$367K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHUSTER, JOHN (SENIOR VICE PRESIDENT/CFO) |
| Parent Organization | ROSECRANCE HEALTH NETWORK |
| NPI Enumeration Date | 11/07/2006 |
Related Entities
Other providers sharing the same authorized official: SCHUSTER, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,303 |
$191K |
| 2019 |
2,118 |
$123K |
| 2020 |
598 |
$23K |
| 2021 |
445 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |
3,055 |
415 |
$190K |
| 90791 |
Psychiatric diagnostic evaluation |
1,031 |
1,019 |
$108K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,261 |
152 |
$51K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
1,057 |
507 |
$18K |
| H0049 |
Alcohol and/or drug screening |
60 |
42 |
$76.45 |