EAGLE CREST LIFE SERVICES, INC.
NPI: 1659492429
· COEUR D ALENE, ID 83814
· Community/Behavioral Health Agency
· NPI assigned 04/02/2007
$326K
Total Medicaid Paid
Provider Details
| Authorized Official | WHEELER, ROBERT (PRESIDENT) |
| NPI Enumeration Date | 04/02/2007 |
Related Entities
Other providers sharing the same authorized official: WHEELER, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,523 |
$78K |
| 2019 |
764 |
$44K |
| 2020 |
252 |
$13K |
| 2023 |
1,831 |
$119K |
| 2024 |
1,132 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
2,708 |
421 |
$196K |
| T1017 |
Targeted case management, each 15 minutes |
2,555 |
617 |
$116K |
| 90834 |
Psychotherapy, 45 minutes with patient |
120 |
51 |
$7K |
| T1016 |
Case management, each 15 minutes |
83 |
26 |
$5K |
| H0032 |
Mental health service plan development by non-physician |
24 |
12 |
$2K |
| H1011 |
Family assessment by licensed behavioral health professional for state defined purposes |
12 |
12 |
$177.84 |