TIDEMARK INTERVENTION SERVICES
NPI: 1437818770
· BALTIMORE, MD 21224
· Counselor
· NPI assigned 12/14/2021
$202K
Total Medicaid Paid
Provider Details
| Authorized Official | LAXTON, RYNE (OWNER/ EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/14/2021 |
Related Entities
Other providers sharing the same authorized official: LAXTON, RYNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
359 |
$202K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0044 |
Supported housing, per month |
320 |
280 |
$199K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
39 |
27 |
$3K |