Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FAA ADDICTION SERVICES, LLC

NPI: 1700450426 · MINOT, ND 58703 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 05/17/2021

$80K
Total Medicaid Paid
445
Total Claims
142
Beneficiaries
5
Codes Billed
2021-10
First Month
2024-05
Last Month

Provider Details

Authorized OfficialGANTZER, SHONDELL (OFFICE MANAGER)
NPI Enumeration Date05/17/2021

Related Entities

Other providers sharing the same authorized official: GANTZER, SHONDELL

ProviderCityStateTotal Paid
DAKOTA FAMILY SERVICES FARGO ND $248K
FAA ADDICTION SERVICES MINOT ND $72K
DAKOTA BOYS & GIRLS RANCH ASSOCIATION MINOT ND $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 123 $8K
2022 193 $10K
2023 15 $2K
2024 114 $60K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9475 Ambulatory setting substance abuse treatment or detoxification services, per diem 114 12 $60K
90837 Psychotherapy, 53 minutes with patient 154 56 $14K
H2035 Alcohol and/or other drug treatment program, per hour 129 48 $3K
90791 Psychiatric diagnostic evaluation 15 13 $2K
90853 Group psychotherapy (other than of a multiple-family group) 33 13 $691.17