NPI: 1578125852 · BISMARCK, ND 58501 · 261QR0405X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 177 | $40K |
| 2021 | 7,432 | $906K |
| 2022 | 1,030 | $109K |
| 2023 | 556 | $295K |
| 2024 | 1,526 | $905K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2036 | A/d tx program, per diem | 3,007 | 240 | $1.26M |
| S0201 | Partial hospitalization serv | 1,639 | 177 | $625K |
| H0017 | Alcohol and/or drug services | 2,148 | 114 | $105K |
| H0018 | Alcohol and/or drug services | 225 | 37 | $87K |
| S9480 | Intensive outpatient psychia | 342 | 58 | $53K |
| S9475 | Ambulatory setting substance | 105 | 17 | $43K |
| H0005 | Alcohol and/or drug services | 569 | 240 | $31K |
| H2010 | Comprehensive med svc 15 min | 1,266 | 111 | $17K |
| 82075 | 129 | 104 | $7K | |
| 99214 | 28 | 24 | $7K | |
| 99213 | 49 | 43 | $6K | |
| 90832 | 36 | 34 | $4K | |
| 80305 | 123 | 104 | $4K | |
| H0020 | Alcohol and/or drug services | 1,055 | 67 | $884.79 |