Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GRAND CANYON BEHAVIOR HEALTH SERVICES LLC

NPI: 1598460511 · PHOENIX, AZ 85018 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 03/31/2023

$105K
Total Medicaid Paid
802
Total Claims
300
Beneficiaries
5
Codes Billed
2023-05
First Month
2023-09
Last Month

Provider Details

Authorized OfficialNDERA, EVELYNE (OWNER)
NPI Enumeration Date03/31/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 802 $105K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 450 98 $64K
H0031 Mental health assessment, by non-physician 76 76 $15K
90792 Psychiatric diagnostic evaluation with medical services 67 66 $12K
H2016 Comprehensive community support services, per diem 37 26 $11K
H2014 Skills training and development, per 15 minutes 172 34 $2K