ST MARY'S HOSPITAL AND MEDICAL CENTER, INC
NPI: 1649820481
· GRAND JUNCTION, CO 81506
· Addiction (Substance Use Disorder) Psychologist
· NPI assigned 09/13/2019
$412K
Total Medicaid Paid
Provider Details
| Authorized Official | CHINN, TERRI (VP FINANCE) |
| Parent Organization | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC |
| NPI Enumeration Date | 09/13/2019 |
Related Entities
Other providers sharing the same authorized official: CHINN, TERRI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
463 |
$26K |
| 2021 |
369 |
$28K |
| 2022 |
364 |
$18K |
| 2023 |
3,979 |
$246K |
| 2024 |
1,617 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
|
4,174 |
1,224 |
$252K |
| 99214 |
|
1,356 |
1,216 |
$88K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
334 |
24 |
$30K |
| 99215 |
Prolong outpt/office vis |
194 |
173 |
$20K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
293 |
85 |
$14K |
| 96372 |
|
401 |
372 |
$6K |
| 99213 |
|
40 |
36 |
$1K |