SAMPLE SERVICES
NPI: 1700245578
· LONGMONT, CO 80501
· Addiction (Substance Use Disorder) Psychologist
· NPI assigned 02/22/2016
$113K
Total Medicaid Paid
Provider Details
| Authorized Official | SAMPLE, CARMEN (CEO) |
| NPI Enumeration Date | 02/22/2016 |
Related Entities
Other providers sharing the same authorized official: SAMPLE, CARMEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
147 |
$21K |
| 2019 |
37 |
$0.00 |
| 2020 |
363 |
$7K |
| 2021 |
599 |
$51K |
| 2022 |
66 |
$6K |
| 2023 |
297 |
$24K |
| 2024 |
49 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,372 |
487 |
$92K |
| H0046 |
Mental health services, not otherwise specified |
147 |
58 |
$21K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
39 |
12 |
$950.43 |