SHAWNEE MENTAL HEALTH CENTER, INC
NPI: 1700158706
· PORTSMOUTH, OH 45662
· Rural Health Clinic/Center
· NPI assigned 02/07/2012
$165K
Total Medicaid Paid
Provider Details
| Authorized Official | HOLSTEIN, CYNTHIA (CEO) |
| Parent Organization | SHAWNEE MENTAL HEALTH CENTER, INC. |
| NPI Enumeration Date | 02/07/2012 |
Related Entities
Other providers sharing the same authorized official: HOLSTEIN, CYNTHIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,448 |
$127K |
| 2019 |
1,090 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,266 |
2,027 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,962 |
1,745 |
$52K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,050 |
956 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
56 |
$1K |
| 90656 |
|
60 |
59 |
$1K |
| 82962 |
|
123 |
100 |
$245.51 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
20 |
14 |
$15.52 |