COWLITZ INDIAN TRIBE
NPI: 1528285038
· LONGVIEW, WA 98632
· General Practice Physician
· NPI assigned 04/19/2007
$16.15M
Total Medicaid Paid
Provider Details
| Authorized Official | KELLER, SHAVON (BILLING SUPERVISOR) |
| Parent Organization | COWLITZ INDIAN TRIBE |
| NPI Enumeration Date | 04/19/2007 |
Related Entities
Other providers sharing the same authorized official: KELLER, SHAVON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
17,413 |
$3.07M |
| 2019 |
16,677 |
$3.16M |
| 2020 |
10,261 |
$1.28M |
| 2021 |
8,512 |
$1.33M |
| 2022 |
11,818 |
$2.13M |
| 2023 |
16,437 |
$3.26M |
| 2024 |
8,198 |
$1.92M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
38,191 |
6,872 |
$14.05M |
| 96153 |
|
14,132 |
2,553 |
$837K |
| 96165 |
|
14,672 |
2,699 |
$551K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
6,264 |
4,518 |
$406K |
| 96164 |
|
14,693 |
2,701 |
$159K |
| H0001 |
Alcohol and/or drug assessment |
1,010 |
982 |
$128K |
| H0038 |
Self-help/peer services, per 15 minutes |
316 |
125 |
$20K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
38 |
24 |
$0.00 |