STATE OF OKLAHOMA
NPI: 1396818514
· GUYMON, OK 73942
· Community/Behavioral Health Agency
· NPI assigned 11/16/2006
$397K
Total Medicaid Paid
Provider Details
| Authorized Official | HOFFMAN, TRUDY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/16/2006 |
Related Entities
Other providers sharing the same authorized official: HOFFMAN, TRUDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
13 |
$422.15 |
| 2022 |
244 |
$110K |
| 2023 |
380 |
$224K |
| 2024 |
96 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
615 |
615 |
$396K |
| T1017 |
Targeted case management, each 15 minutes |
26 |
24 |
$705.97 |
| H0032 |
Mental health service plan development by non-physician |
12 |
12 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
80 |
55 |
$0.00 |