NPI: 1245452739 · SPARTA, IL 62286 · 261QM0801X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 340 | $22K |
| 2019 | 169 | $10K |
| 2020 | 36 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H0004 | Alcohol and/or drug services | 194 | 144 | $14K |
| H2000 | Comp multidisipln evaluation | 182 | 155 | $10K |
| H2015 | Comp comm supp svc, 15 min | 84 | 58 | $6K |
| H0032 | Mh svc plan dev by non-md | 37 | 36 | $2K |
| H0031 | Mh health assess by non-md | 21 | 21 | $2K |
| H0002 | Alcohol and/or drug screenin | 12 | 12 | $508.20 |
| T1016 | Case management | 15 | 12 | $360.78 |