QUINAULT CHEMICAL DEPEDENCY
NPI: 1518180744
· TAHOLAH, WA 98587
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 04/10/2007
$3.69M
Total Medicaid Paid
Provider Details
| Authorized Official | HAGEN, DAVID (PROGRAM MANAGER) |
| NPI Enumeration Date | 04/10/2007 |
Related Entities
Other providers sharing the same authorized official: HAGEN, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,962 |
$802K |
| 2019 |
3,273 |
$714K |
| 2020 |
2,327 |
$389K |
| 2021 |
3,335 |
$616K |
| 2022 |
1,521 |
$458K |
| 2023 |
2,405 |
$504K |
| 2024 |
1,168 |
$202K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
8,162 |
3,062 |
$3.43M |
| 96153 |
|
2,211 |
761 |
$70K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,092 |
1,413 |
$66K |
| 96165 |
|
2,658 |
804 |
$53K |
| 96164 |
|
2,653 |
807 |
$43K |
| H0001 |
Alcohol and/or drug assessment |
215 |
206 |
$26K |