DESERT BOLT BEHAVIORAL LLC
NPI: 1649897414
· ANTHEM, AZ
$192K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
285 |
$7K |
| 2022 |
1,848 |
$60K |
| 2023 |
1,204 |
$50K |
| 2024 |
1,875 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,820 |
1,270 |
$70K |
| 90838 |
|
1,326 |
941 |
$62K |
| 90837 |
|
655 |
340 |
$33K |
| 99214 |
|
300 |
217 |
$10K |
| 90833 |
|
362 |
277 |
$7K |
| 99417 |
Prolong home eval add 15m |
332 |
254 |
$5K |
| 99212 |
|
149 |
121 |
$2K |
| 99205 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 90836 |
|
26 |
20 |
$1K |
| T1016 |
Case management, each 15 minutes |
157 |
112 |
$700.52 |
| 99211 |
|
57 |
50 |
$275.15 |
| 96127 |
|
14 |
13 |
$33.77 |