LIBERTY HOUSE
NPI: 1639244056
· SALEM, OR 97301
· Pediatrics Physician
· NPI assigned 11/21/2006
$2.13M
Total Medicaid Paid
Provider Details
| Authorized Official | KELLEY, ALISON (CEO) |
| NPI Enumeration Date | 11/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,390 |
$140K |
| 2019 |
1,674 |
$163K |
| 2020 |
1,985 |
$286K |
| 2021 |
2,117 |
$509K |
| 2022 |
1,885 |
$460K |
| 2023 |
1,363 |
$399K |
| 2024 |
512 |
$174K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
599 |
573 |
$1.01M |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,111 |
4,530 |
$992K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
797 |
505 |
$103K |
| T1016 |
Case management, each 15 minutes |
268 |
185 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
124 |
94 |
$10K |
| 99354 |
|
27 |
24 |
$401.48 |