STATE OF MONTANA
NPI: 1528079720
· LEWISTOWN, MT 59457
· Mental Illness Intermediate Care Facility
· NPI assigned 08/11/2006
Provider Details
| Authorized Official | MARTIN, ALEASHA (FACILITY REIMBURSEMENT MANAGER) |
| NPI Enumeration Date | 08/11/2006 |
Related Entities
Other providers sharing the same authorized official: MARTIN, ALEASHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$465.87 |
| 2019 |
25 |
$0.00 |
| 2021 |
48 |
$519.68 |
| 2022 |
35 |
$542.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
13 |
$542.32 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
15 |
$519.68 |
| 99307 |
|
27 |
24 |
$465.87 |
| 90832 |
Psychotherapy, 30 minutes with patient |
25 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
26 |
$0.00 |