NPI: 1306394788 · PONCA CITY, OK 74601 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 09/14/2016
Authorized official SMITH, LARRY controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, LARRY (CEO) |
| NPI Enumeration Date | 09/14/2016 |
Other providers sharing the same authorized official: SMITH, LARRY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 537 | $89K |
| 2019 | 1,276 | $467K |
| 2020 | 2,862 | $1.72M |
| 2021 | 2,537 | $1.78M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 3,634 | 3,634 | $3.80M |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | 133 | 115 | $134K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2,412 | 1,802 | $70K |
| G9009 | Coordinated care fee, risk adjusted maintenance, level 3 | 143 | 125 | $49K |
| G9002 | Coordinated care fee, maintenance rate | 61 | 55 | $9K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 174 | 174 | $1K |
| T1027 | Family training and counseling for child development, per 15 minutes | 622 | 562 | $0.00 |
| H2019 | Therapeutic behavioral services, per 15 minutes | 19 | 13 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 14 | 14 | $0.00 |