SEAGLASS RECOVERY
NPI: 1679039044
· PRESCOTT, AZ 86305
· Substance Abuse Rehabilitation Facility
· NPI assigned 02/11/2019
$366K
Total Medicaid Paid
Provider Details
| Authorized Official | ANDREWS, ERIC (DIRECTOR OF QUALITY ASSURANCE) |
| NPI Enumeration Date | 02/11/2019 |
Related Entities
Other providers sharing the same authorized official: ANDREWS, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,623 |
$285K |
| 2023 |
821 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
2,307 |
166 |
$366K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
68 |
13 |
$0.00 |
| 80305 |
|
42 |
13 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
27 |
14 |
$0.00 |