PROVIDENCE HOUSE LLC
NPI: 1184367567
· ARNEGARD, ND 58835
· Substance Use Disorder Rehabilitation Hospital Unit
· NPI assigned 04/14/2022
$2.51M
Total Medicaid Paid
Provider Details
| Authorized Official | LAYNE, MORGAN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/14/2022 |
Related Entities
Other providers sharing the same authorized official: LAYNE, MORGAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
256 |
$88K |
| 2023 |
1,199 |
$696K |
| 2024 |
3,332 |
$1.73M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
3,068 |
179 |
$1.70M |
| S9475 |
Ambulatory setting substance abuse treatment or detoxification services, per diem |
1,543 |
125 |
$764K |
| 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 |
176 |
25 |
$44K |