Medicaid Provider Spending

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

SKULL VALLEY HEALTH CLINIC

NPI: 1710468384 · TOOELE, UT 84074 · Clinic/Center · NPI assigned 08/22/2018

$4.50M
Total Medicaid Paid
12,034
Total Claims
2,066
Beneficiaries
15
Codes Billed
2019-07
First Month
2020-11
Last Month

Provider Details

Authorized OfficialJOHNSON, LANCE (ADMINISTRATOR)
NPI Enumeration Date08/22/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 4,020 $1.07M
2020 8,014 $3.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 4,103 193 $1.73M
90853 Group psychotherapy (other than of a multiple-family group) 3,383 380 $1.26M
H2017 Psychosocial rehabilitation services, per 15 minutes 1,921 452 $784K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 824 241 $227K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 470 130 $199K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 375 150 $105K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 348 207 $82K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 173 134 $62K
H0006 Alcohol and/or drug services; case management 97 24 $31K
90837 Psychotherapy, 53 minutes with patient 64 42 $13K
H0038 Self-help/peer services, per 15 minutes 107 45 $5K
86580 37 18 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 40 17 $1K
80100 38 20 $455.00
T1016 Case management, each 15 minutes 54 13 $0.00