STATE OF OKLAHOMA
NPI: 1487727699
· FAIRVIEW, OK 73737
· Community/Behavioral Health Agency
· NPI assigned 11/16/2006
$292K
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 |
34 |
$2K |
| 2019 |
101 |
$5K |
| 2020 |
182 |
$5K |
| 2021 |
489 |
$18K |
| 2022 |
410 |
$102K |
| 2023 |
258 |
$142K |
| 2024 |
28 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
400 |
400 |
$257K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
659 |
415 |
$26K |
| T1017 |
Targeted case management, each 15 minutes |
431 |
294 |
$8K |
| G9002 |
Coordinated care fee, maintenance rate |
12 |
12 |
$2K |