4 PILLARS OF SUCCESS LLC
NPI: 1396176582
· AMMON, ID 83406
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 12/12/2013
$259K
Total Medicaid Paid
Provider Details
| Authorized Official | CAREAGA, AMBER (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 12/12/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,929 |
$224K |
| 2019 |
614 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
3,802 |
352 |
$204K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
741 |
262 |
$54K |