IDEAL TREATMENT CENTER LLC
NPI: 1336837616
· PHOENIX, AZ 85021
· Addiction (Substance Use Disorder) Counselor
· NPI assigned 04/25/2023
$408K
Total Medicaid Paid
Provider Details
| Authorized Official | UWIMANA, AIMEE (NURSE PRACTITIONER) |
| NPI Enumeration Date | 04/25/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,113 |
$408K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9480 |
Intensive outpatient psychiatric services, per diem |
1,100 |
97 |
$407K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$913.38 |