SKULL VALLEY HEALTH CLINIC
NPI: 1710468384
· TOOELE, UT 84074
· 261Q00000X
$4.50M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
4,020 |
$1.07M |
| 2020 |
8,014 |
$3.43M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Alcohol and/or drug services |
4,103 |
193 |
$1.73M |
| 90853 |
|
3,383 |
380 |
$1.26M |
| H2017 |
Psysoc rehab svc, per 15 min |
1,921 |
452 |
$784K |
| 99212 |
|
824 |
241 |
$227K |
| 99211 |
|
470 |
130 |
$199K |
| 96372 |
|
375 |
150 |
$105K |
| 99213 |
|
348 |
207 |
$82K |
| 99214 |
|
173 |
134 |
$62K |
| H0006 |
Alcohol and/or drug services |
97 |
24 |
$31K |
| 90837 |
|
64 |
42 |
$13K |
| H0038 |
Self-help/peer svc per 15min |
107 |
45 |
$5K |
| 86580 |
|
37 |
18 |
$2K |
| 80307 |
|
40 |
17 |
$1K |
| 80100 |
|
38 |
20 |
$455.00 |
| T1016 |
Case management |
54 |
13 |
$0.00 |