Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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KIMBERLY BROUSSARD
NPI: 1477908275 · LAS VEGAS, NV 89120 ·
Behavioral Analyst
· NPI assigned 04/28/2016
OIG Excluded Provider
· This provider appears on the
HHS Office of Inspector General List of Excluded Individuals/Entities
. Exclusion date: 08/18/2022.
$235K
Total Medicaid Paid
1,454
Total Claims
240
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-06
Last Month
Provider Details
Authorized Official
BROUSSARD, KIMBERLY
(OWNER / OPERATOR)
NPI Enumeration Date
04/28/2016
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
1,454
$235K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
S9480
Intensive outpatient psychiatric services, per diem
780
83
$105K
H0004
Behavioral health counseling and therapy, per 15 minutes
574
144
$98K
H2011
Crisis intervention service, per 15 minutes
100
13
$32K