NPI: 1588292064 · ROY, UT 84067 · Substance Abuse Rehabilitation Facility · NPI assigned 03/30/2020
| Authorized Official | BURNINGHAM, JORDAN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/30/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 210 | $8K |
| 2021 | 498 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2014 | Skills training and development, per 15 minutes | 233 | 42 | $25K |
| H2019 | Therapeutic behavioral services, per 15 minutes | 51 | 15 | $4K |
| T1001 | Nursing assessment / evaluation | 319 | 59 | $3K |
| H0031 | Mental health assessment, by non-physician | 39 | 28 | $935.09 |
| 99310 | Prolong nursin fac eval 15m | 15 | 14 | $202.32 |
| T1017 | Targeted case management, each 15 minutes | 51 | 15 | $0.00 |