LAKE CITY COUNSELING CENTER LLC
NPI: 1720513963
· HAYDEN, ID 83835
· Clinical Social Worker
· NPI assigned 04/25/2017
$173K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
113 |
$7K |
| 2020 |
2,617 |
$166K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
Psychotherapy, 45 minutes with patient |
1,512 |
568 |
$88K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
616 |
108 |
$63K |
| H0031 |
Mental health assessment, by non-physician |
124 |
97 |
$11K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
448 |
167 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
30 |
30 |
$3K |