4 PILLARS OF SUCCESS LLC
NPI: 1619134277
· AMMON, ID 83406
· 261QM1300X
$8.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
21,168 |
$829K |
| 2019 |
32,367 |
$1.76M |
| 2020 |
31,997 |
$1.87M |
| 2021 |
12,681 |
$938K |
| 2022 |
12,592 |
$934K |
| 2023 |
12,013 |
$842K |
| 2024 |
10,637 |
$834K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
45,212 |
7,278 |
$3.93M |
| H0038 |
Self-help/peer svc per 15min |
20,395 |
5,433 |
$1.22M |
| 90834 |
|
18,624 |
7,339 |
$938K |
| T1017 |
Targeted case management |
16,876 |
5,265 |
$873K |
| 99214 |
|
5,036 |
4,757 |
$263K |
| H0032 |
Mh svc plan dev by non-md |
957 |
798 |
$158K |
| 99215 |
Prolong outpt/office vis |
1,445 |
1,364 |
$112K |
| 99211 |
|
5,223 |
3,457 |
$109K |
| 90847 |
|
1,275 |
871 |
$101K |
| 90791 |
|
939 |
920 |
$78K |
| 90837 |
|
1,820 |
634 |
$59K |
| 90785 |
|
11,047 |
4,719 |
$38K |
| 99212 |
|
644 |
534 |
$26K |
| H0031 |
Mh health assess by non-md |
356 |
352 |
$24K |
| 99213 |
|
595 |
577 |
$20K |
| 90846 |
|
218 |
119 |
$17K |
| 96372 |
|
1,067 |
853 |
$14K |
| 99205 |
Prolong outpt/office vis |
83 |
83 |
$12K |
| T2002 |
N-et; per diem |
426 |
140 |
$9K |
| T1014 |
Telehealth transmit, per min |
297 |
290 |
$6K |
| 99204 |
|
12 |
12 |
$1K |
| H0001 |
Alcohol and/or drug assess |
60 |
60 |
$1K |
| 90853 |
|
786 |
101 |
$209.25 |
| 36415 |
|
42 |
27 |
$118.64 |
| 85025 |
|
20 |
12 |
$0.00 |