PROVIDENCE HOUSE MINOT LLC
NPI: 1699548214
· MINOT, ND 58701
· Substance Use Disorder Rehabilitation Hospital Unit
· NPI assigned 11/06/2023
$1.14M
Total Medicaid Paid
Provider Details
| Authorized Official | LAYNE, MORGAN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/06/2023 |
Related Entities
Other providers sharing the same authorized official: LAYNE, MORGAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,121 |
$1.14M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
1,594 |
107 |
$854K |
| S9475 |
Ambulatory setting substance abuse treatment or detoxification services, per diem |
527 |
37 |
$283K |