EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.
NPI: 1316997992
· PONCA CITY, OK 74601
· 251S00000X
$773K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
6,525 |
3,715 |
$425K |
| H2017 |
Psysoc rehab svc, per 15 min |
2,632 |
1,122 |
$117K |
| T1017 |
Targeted case management |
3,258 |
1,702 |
$105K |
| 99213 |
|
1,782 |
1,713 |
$59K |
| 99214 |
|
375 |
351 |
$24K |
| G9009 |
Mccd, risk adj, level 3 |
65 |
54 |
$22K |
| H0032 |
Mh svc plan dev by non-md |
195 |
195 |
$12K |
| 99205 |
Prolong outpt/office vis |
49 |
49 |
$6K |
| H2015 |
Comp comm supp svc, 15 min |
149 |
125 |
$2K |
| H0002 |
Alcohol and/or drug screenin |
12 |
12 |
$303.84 |