INTERDISCIPLINARY COMMUNITY AUTISM NETWORK, INC
NPI: 1336579754
· FORT WAYNE, IN 46825
· Counselor
· NPI assigned 11/21/2013
$194K
Total Medicaid Paid
Provider Details
| Authorized Official | SOUDER, MARLA (PRESIDENT/COO) |
| NPI Enumeration Date | 11/21/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,379 |
$106K |
| 2019 |
1,368 |
$88K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
2,616 |
985 |
$185K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
118 |
37 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
13 |
12 |
$1K |