ROYAL WA LACEY LLC
NPI: 1336890854
· LACEY, WA 98516
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 01/17/2022
$1.10M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: JACKSON, SHANDALEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
620 |
$126K |
| 2023 |
2,359 |
$514K |
| 2024 |
1,992 |
$457K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9480 |
Intensive outpatient psychiatric services, per diem |
3,971 |
354 |
$932K |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
422 |
38 |
$89K |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
201 |
13 |
$60K |
| 96165 |
|
189 |
59 |
$11K |
| 96164 |
|
188 |
59 |
$5K |