LIBERTY RESOURCES, INC.
NPI: 1639729452
· SYRACUSE, NY 13203
· Substance Abuse Rehabilitation Facility
· NPI assigned 09/13/2019
$237K
Total Medicaid Paid
Provider Details
| Authorized Official | HARRIS, KELLI (CFO) |
| Parent Organization | LIBERTY RESOURCES, INC. |
| NPI Enumeration Date | 09/13/2019 |
Related Entities
Other providers sharing the same authorized official: HARRIS, KELLI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
192 |
$19K |
| 2022 |
846 |
$95K |
| 2023 |
606 |
$75K |
| 2024 |
352 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,374 |
690 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
322 |
258 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
166 |
112 |
$19K |
| 90832 |
Psychotherapy, 30 minutes with patient |
48 |
41 |
$4K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
54 |
12 |
$3K |
| H0038 |
Self-help/peer services, per 15 minutes |
32 |
12 |
$1K |