NPI: 1457949539 · POCATELLO, ID 83201 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 01/05/2021
| Authorized Official | ECHI-ABOLI, DEMI (BILLING DEPARTMENT DIRECTOR) |
| NPI Enumeration Date | 01/05/2021 |
Other providers sharing the same authorized official: ECHI-ABOLI, DEMI
| Provider | City | State | Total Paid |
|---|---|---|---|
| 4 PILLARS OF SUCCESS LLC | AMMON | ID | $8.01M |
| 4 PILLARS OF SUCCESS LLC | AMMON | ID | $3.34M |
| 4 PILLARS OF SUCCESS LLC | AMMON | ID | $697K |
| BADGER INC. | IDAHO FALLS | ID | $396K |
| BEHAVIORAL ENHANCEMENT SERVICES & TREATMENT LLC | POCATELLO | ID | $311K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,997 | $160K |
| 2024 | 19 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 672 | 215 | $62K |
| T1017 | Targeted case management, each 15 minutes | 503 | 208 | $32K |
| 90834 | Psychotherapy, 45 minutes with patient | 397 | 214 | $30K |
| 90837 | Psychotherapy, 53 minutes with patient | 249 | 123 | $22K |
| H2011 | Crisis intervention service, per 15 minutes | 80 | 60 | $8K |
| H0038 | Self-help/peer services, per 15 minutes | 85 | 49 | $6K |
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $1K |
| 90832 | Psychotherapy, 30 minutes with patient | 18 | 12 | $1K |