Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NOVA VITAL IOP LLC

NPI: 1477242196 · SHREVEPORT, LA 71101 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 05/08/2023

$32K
Total Medicaid Paid
268
Total Claims
28
Beneficiaries
1
Codes Billed
2024-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMACISAAC, MALLORY (CONTROLLER)
NPI Enumeration Date05/08/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 268 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 268 28 $32K