MIDWEST MENTAL HEALTH CLINIC PLLC
NPI: 1710600028
· FARGO, ND 58102
· Addiction (Substance Use Disorder) Counselor
· NPI assigned 09/21/2022
$405K
Total Medicaid Paid
Provider Details
| Authorized Official | GERVAIS, JACQUALINE (PRESIDENT/OWNER) |
| Parent Organization | MIDWEST MENTAL HEALTH CLINIC PLLC |
| NPI Enumeration Date | 09/21/2022 |
Related Entities
Other providers sharing the same authorized official: GERVAIS, JACQUALINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,377 |
$279K |
| 2024 |
538 |
$127K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
1,772 |
308 |
$400K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
143 |
59 |
$5K |