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PORT GAMBLE S'KLALLAM CHEMICAL DEPENDENCY PROGRAM
PORT GAMBLE S'KLALLAM CHEMICAL DEPENDENCY PROGRAM
NPI: 1578622973
· KINGSTON, WA 98346
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 12/08/2006
$3.24M
Total Medicaid Paid
Provider Details
| Authorized Official | POWELL, KERSTIN (HEALTH CENTER BUSINESS OFFICE MANAG) |
| NPI Enumeration Date | 12/08/2006 |
Related Entities
Other providers sharing the same authorized official: POWELL, KERSTIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,545 |
$465K |
| 2019 |
1,984 |
$459K |
| 2020 |
2,015 |
$381K |
| 2021 |
1,472 |
$332K |
| 2022 |
1,293 |
$392K |
| 2023 |
1,793 |
$518K |
| 2024 |
2,801 |
$691K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,703 |
1,670 |
$3.16M |
| 96165 |
|
2,325 |
498 |
$31K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
663 |
522 |
$15K |
| 96153 |
|
1,703 |
424 |
$13K |
| 96164 |
|
2,317 |
498 |
$13K |
| H0001 |
Alcohol and/or drug assessment |
124 |
91 |
$9K |
| T1017 |
Targeted case management, each 15 minutes |
68 |
51 |
$556.60 |