PHOENIX RECOVERY HOUSE
NPI: 1285193979
· MOUNT VERNON, WA 98273
· Community/Behavioral Health Agency
· NPI assigned 03/13/2019
$225K
Total Medicaid Paid
Provider Details
| Authorized Official | SULLIVAN, ROBERT (DIRECTOR III) |
| Parent Organization | PIONEER HUMAN SERVICES |
| NPI Enumeration Date | 03/13/2019 |
Related Entities
Other providers sharing the same authorized official: SULLIVAN, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
6,015 |
$23K |
| 2020 |
3,883 |
$151K |
| 2021 |
993 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0043 |
Supported housing, per diem |
1,107 |
392 |
$121K |
| 96165 |
|
1,535 |
481 |
$46K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,667 |
767 |
$25K |
| 96164 |
|
1,675 |
531 |
$17K |
| 96153 |
|
4,332 |
610 |
$15K |
| T1016 |
Case management, each 15 minutes |
168 |
130 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
163 |
89 |
$0.00 |
| H0046 |
Mental health services, not otherwise specified |
191 |
109 |
$0.00 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
53 |
32 |
$0.00 |