SEQUEL TSI OF AZ, LLC
NPI: 1518297241
· CHINLE, AZ 86503
· Adult Mental Health Clinic/Center
· NPI assigned 12/31/2009
$1.16M
Total Medicaid Paid
Provider Details
| Authorized Official | BANKEN, CHRIS (EXECUTIVE DIRECTOR) |
| Parent Organization | SEQUELCARE OF AZ, LLC |
| NPI Enumeration Date | 12/31/2009 |
Related Entities
Other providers sharing the same authorized official: BANKEN, CHRIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,750 |
$623K |
| 2019 |
1,936 |
$452K |
| 2020 |
1,085 |
$89K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Therapeutic behavioral services, per diem |
3,079 |
384 |
$676K |
| S0215 |
Non-emergency transportation; mileage, per mile |
604 |
279 |
$419K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
604 |
279 |
$55K |
| T1016 |
Case management, each 15 minutes |
484 |
37 |
$15K |