NPI: 1265654461 · BOISE, ID 83704 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 05/03/2007
| Authorized Official | DOOLEY, MICHELE (OFFICE MANAGER) |
| NPI Enumeration Date | 05/03/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,274 | $104K |
| 2019 | 337 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management, each 15 minutes | 1,020 | 325 | $70K |
| H0038 | Self-help/peer services, per 15 minutes | 324 | 106 | $40K |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 114 | 26 | $9K |
| T1016 | Case management, each 15 minutes | 96 | 27 | $7K |
| 90834 | Psychotherapy, 45 minutes with patient | 22 | 15 | $1K |
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $1K |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 23 | 12 | $354.48 |