PRIME HEALTHCARE PARADISE VALLEY HOSPITAL
NPI: 1689868010
· SAN DIEGO, CA 92154
· Psychiatric Hospital
· NPI assigned 08/29/2007
$112K
Total Medicaid Paid
Provider Details
| Authorized Official | HANLY, JESSICA (CONTROLLER) |
| NPI Enumeration Date | 08/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
500 |
$112K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
382 |
177 |
$85K |
| T1017 |
Targeted case management, each 15 minutes |
118 |
81 |
$27K |