EASTSIDE CHILD AND FAMILY THERAPY, LLC
NPI: 1366189797
· GRESHAM, OR 97030
· Mental Health Counselor
· NPI assigned 05/17/2022
$247K
Total Medicaid Paid
Provider Details
| Authorized Official | MANLUPIG, SARAH (OWNER/COUNSELOR) |
| NPI Enumeration Date | 05/17/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
272 |
$34K |
| 2023 |
1,308 |
$213K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
1,554 |
626 |
$245K |
| 90791 |
Psychiatric diagnostic evaluation |
26 |
20 |
$3K |