HIGH COUNTRY BEHAVIORAL HEALTH
NPI: 1295379865
· IDAHO FALLS, ID 83404
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 11/06/2019
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | DANA, KIPP (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/06/2019 |
Related Entities
Other providers sharing the same authorized official: DANA, KIPP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,230 |
$78K |
| 2021 |
163 |
$2K |
| 2022 |
292 |
$5K |
| 2023 |
382 |
$6K |
| 2024 |
858 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
608 |
336 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,058 |
850 |
$30K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
223 |
71 |
$20K |
| 90837 |
Psychotherapy, 53 minutes with patient |
193 |
93 |
$18K |
| T1017 |
Targeted case management, each 15 minutes |
176 |
103 |
$10K |
| 99348 |
|
324 |
252 |
$7K |
| 96127 |
|
343 |
147 |
$0.00 |