NPI: 1235223652 · SAINT LOUIS PARK, MN 55416 · Substance Abuse Rehabilitation Facility · NPI assigned 10/02/2006
| Authorized Official | WILSON, JENNIFER (BILLING MANAGER) |
| NPI Enumeration Date | 10/02/2006 |
Other providers sharing the same authorized official: WILSON, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| THE WAYSIDE HOUSE, INC. | MINNEAPOLIS | MN | $3.00M |
| THE WAYSIDE HOUSE, INC. | SAINT PAUL | MN | $1.43M |
| CENTER FOR SPEECH AND LANGUAGE PATHOLOGY, LLC | HUNTSVILLE | AL | $1.15M |
| ONE SOURCE MEDICAL SOLUTIONS, INC. | DALLAS | TX | $888K |
| COMPREHENSIVE COMMUNITY SUPPORTIVE SERVICES PLLC | BURLINGTON | NC | $313K |
| MAIN STREET DENTAL OF SALT LAKE CITY | SALT LAKE CITY | UT | $78K |
| HOPEWELL MENTAL HEALTH SERVICES, LLC | DUBLIN | OH | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,267 | $363K |
| 2019 | 1,924 | $1.62M |
| 2020 | 1,461 | $1.53M |
| 2021 | 1,366 | $1.06M |
| 2022 | 1,299 | $1.04M |
| 2023 | 927 | $1.31M |
| 2024 | 624 | $980K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 8,340 | 3,179 | $7.77M |
| H0001 | Alcohol and/or drug assessment | 555 | 501 | $72K |
| H2035 | Alcohol and/or other drug treatment program, per hour | 804 | 102 | $43K |
| 90837 | Psychotherapy, 53 minutes with patient | 73 | 31 | $8K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 57 | 46 | $5K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20 | 13 | $1K |
| 90834 | Psychotherapy, 45 minutes with patient | 19 | 12 | $1K |