STATE OF OKLAHOMA
NPI: 1437222734
· ALVA, OK 73717
· Community/Behavioral Health Agency
· NPI assigned 11/16/2006
$714K
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 |
|---|
| 2018 |
12 |
$2K |
| 2019 |
54 |
$2K |
| 2020 |
313 |
$6K |
| 2021 |
484 |
$9K |
| 2022 |
1,024 |
$244K |
| 2023 |
968 |
$361K |
| 2024 |
186 |
$90K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
1,059 |
1,059 |
$676K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
705 |
388 |
$18K |
| T1017 |
Targeted case management, each 15 minutes |
933 |
678 |
$15K |
| H0032 |
Mental health service plan development by non-physician |
39 |
39 |
$3K |
| G9002 |
Coordinated care fee, maintenance rate |
12 |
12 |
$2K |
| H2015 |
Comprehensive community support services, per 15 minutes |
257 |
169 |
$552.00 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
36 |
24 |
$0.00 |