Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.

NPI: 1316997992 · PONCA CITY, OK 74601 · Community/Behavioral Health Agency · NPI assigned 05/12/2006

$773K
Total Medicaid Paid
15,042
Total Claims
9,038
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialDANIELS, MISTY (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/12/2006

Related Entities

Other providers sharing the same authorized official: DANIELS, MISTY

ProviderCityStateTotal Paid
EDWIN FAIR CMHC PONCA CITY OK $188K
EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. PONCA CITY OK $22K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 447 $31K
2019 1,658 $80K
2020 4,383 $203K
2021 3,631 $179K
2022 3,292 $183K
2023 1,631 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 6,525 3,715 $425K
H2017 Psychosocial rehabilitation services, per 15 minutes 2,632 1,122 $117K
T1017 Targeted case management, each 15 minutes 3,258 1,702 $105K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,782 1,713 $59K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 375 351 $24K
G9009 Coordinated care fee, risk adjusted maintenance, level 3 65 54 $22K
H0032 Mental health service plan development by non-physician 195 195 $12K
99205 Prolong outpt/office vis 49 49 $6K
H2015 Comprehensive community support services, per 15 minutes 149 125 $2K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 12 12 $303.84