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NPI 1255963708
NPI deactivated
1255963708
1255963708 was paid $5.36M by Medicaid between Apr 2023 and Jun 2024, across 4 billing codes. Its largest line is H2020, Therapeutic behavioral services, per diem — 71% of everything it billed.
33Billing provider info1255963708
33aNPI1255963708
33bProvider type—
28Total paid$5.36M
24GClaims54,038
24DCodes billed4
24AFirst – last monthApr 2023 – Jun 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 10,387 | $894K | |
| 2024incomplete | 43,651 | $4.47M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2020 | Therapeutic behavioral services, per diem | 71% | 27,193 | 1,591 | $3.81M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 28% | 26,101 | 1,542 | $1.49M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 345 | 52 | $35K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 399 | 53 | $28K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.