SPIRIT LAKE TRIBE
NPI: 1588865794
· FORT TOTTEN, ND 58335
· Clinical Social Worker
· NPI assigned 05/29/2007
$221K
Total Medicaid Paid
Provider Details
| Authorized Official | PELTIER, LINDA (3RD PARTY BILLING MANAGER) |
| NPI Enumeration Date | 05/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
83 |
$50K |
| 2024 |
361 |
$171K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
444 |
88 |
$221K |