GARDEN OF PRAYER YOUTH CENTER
NPI: 1427302413
· MOMENCE, IL 60954
· Community/Behavioral Health Agency
· NPI assigned 10/30/2012
$393K
Total Medicaid Paid
Provider Details
| Authorized Official | MALONEY, MICHAEL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/30/2012 |
Related Entities
Other providers sharing the same authorized official: MALONEY, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
764 |
$30K |
| 2022 |
2,122 |
$124K |
| 2023 |
2,554 |
$240K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
4,983 |
210 |
$361K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
457 |
101 |
$32K |