Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › SALT LAKE CITY › DE NOVO SERVICES LLC

DE NOVO SERVICES LLC

NPI: 1164794434 · SALT LAKE CITY, UT 84107 · Addiction (Substance Use Disorder) Counselor · NPI assigned 02/02/2012

$918K
Total Medicaid Paid
10,106
Total Claims
5,153
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCOSTLEY, JERRY (DIRECTOR / OWNER)
NPI Enumeration Date02/02/2012

Related Entities

Other providers sharing the same authorized official: COSTLEY, JERRY

ProviderCityStateTotal Paid
DISABLED RIGHTS ACTION COMMITTEE SALT LAKE CITY UT $228K
METAMORPHOSIS SALT LAKE CITY, INC. SALT LAKE CITY UT $102K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 354 $23K
2019 409 $32K
2020 1,585 $126K
2021 1,811 $151K
2022 2,277 $182K
2023 2,334 $238K
2024 1,336 $167K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 5,699 3,496 $750K
90832 Psychotherapy, 30 minutes with patient 3,493 1,146 $103K
90837 Psychotherapy, 53 minutes with patient 914 511 $66K