BUCK JACK LLC
NPI: 1619575925
· AURORA, CO 80014
· Speech-Language Pathologist
· NPI assigned 10/09/2020
$171K
Total Medicaid Paid
Provider Details
| Authorized Official | HALL, TANNER (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 10/09/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
420 |
$65K |
| 2024 |
352 |
$105K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
628 |
73 |
$154K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
144 |
42 |
$17K |