SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
NPI: 1629124987
· BLACKFOOT, ID 83221
· Developmentally Disabled Services Day Training Agency
· NPI assigned 01/26/2007
$1.76M
Total Medicaid Paid
Provider Details
| Authorized Official | MCCOY, JIM (OWNER DIRECTOR) |
| NPI Enumeration Date | 01/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,594 |
$304K |
| 2019 |
7,647 |
$385K |
| 2020 |
4,914 |
$279K |
| 2021 |
3,725 |
$301K |
| 2022 |
5,063 |
$288K |
| 2023 |
3,640 |
$198K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
4,157 |
505 |
$517K |
| S5100 |
Day care services, adult; per 15 minutes |
7,389 |
1,487 |
$472K |
| H2032 |
Activity therapy, per 15 minutes |
8,376 |
1,557 |
$330K |
| 97537 |
|
10,407 |
1,202 |
$249K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
868 |
128 |
$117K |
| 96152 |
|
386 |
66 |
$71K |