CLEAN SLATE SOBER LIVING
NPI: 1578101952
· TROTWOOD, OH 45426
· Community/Behavioral Health Agency
· NPI assigned 12/16/2019
$659K
Total Medicaid Paid
Provider Details
| Authorized Official | WOODS, LEILAND (COO) |
| NPI Enumeration Date | 12/16/2019 |
Related Entities
Other providers sharing the same authorized official: WOODS, LEILAND
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,279 |
$205K |
| 2021 |
3,654 |
$346K |
| 2022 |
1,665 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Therapeutic behavioral services, per diem |
2,206 |
984 |
$332K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
4,717 |
1,584 |
$307K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
271 |
132 |
$8K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
261 |
119 |
$7K |
| 90837 |
Psychotherapy, 53 minutes with patient |
45 |
32 |
$4K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
72 |
36 |
$43.44 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
13 |
$18.00 |