DRIFTWOOD EVALUATION CENTER, LLC
NPI: 1669135125
· SUMMERVILLE, SC 29485
· 103TS0200X
$196K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$2K |
| 2023 |
428 |
$53K |
| 2024 |
923 |
$142K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90791 |
|
667 |
646 |
$97K |
| 96131 |
|
176 |
172 |
$51K |
| 96137 |
|
177 |
174 |
$28K |
| 96130 |
|
164 |
162 |
$13K |
| 96136 |
|
179 |
176 |
$7K |