Medicaid Provider Spending

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

NORTHSHORE AUTISM CENTER, LLC

NPI: 1629512652 · MANDEVILLE, LA 70448 · Early Intervention Provider Agency · NPI assigned 12/09/2016

$91K
Total Medicaid Paid
767
Total Claims
40
Beneficiaries
2
Codes Billed
2019-07
First Month
2019-08
Last Month

Provider Details

Authorized OfficialFAVRE, CHAD (DIRECTOR)
NPI Enumeration Date12/09/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 767 $91K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 712 27 $88K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 55 13 $2K