COWLITZ INDIAN TRIBE
NPI: 1538412630
· VANCOUVER, WA 98661
· Methadone Clinic
· NPI assigned 10/26/2012
$6.89M
Total Medicaid Paid
Provider Details
| Authorized Official | KELLER, SHAVON (BILLING SUPERVISOR) |
| Parent Organization | NORTHSTAR CLINIC |
| NPI Enumeration Date | 10/26/2012 |
Related Entities
Other providers sharing the same authorized official: KELLER, SHAVON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
6,452 |
$1.25M |
| 2019 |
5,529 |
$1.17M |
| 2020 |
6,065 |
$1.02M |
| 2021 |
6,419 |
$1.13M |
| 2022 |
4,437 |
$968K |
| 2023 |
3,547 |
$779K |
| 2024 |
2,136 |
$573K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
15,048 |
3,408 |
$6.13M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
4,111 |
2,395 |
$296K |
| 96153 |
|
4,509 |
1,035 |
$221K |
| 96165 |
|
5,399 |
1,342 |
$175K |
| 96164 |
|
5,403 |
1,344 |
$59K |
| H0001 |
Alcohol and/or drug assessment |
115 |
109 |
$14K |