LAKE CITY COUNSELING CENTER LLC
NPI: 1720513963
· HAYDEN, ID 83835
· 1041C0700X
$173K
Total Medicaid Paid
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 |
|
1,512 |
568 |
$88K |
| H2017 |
Psysoc rehab svc, per 15 min |
616 |
108 |
$63K |
| H0031 |
Mh health assess by non-md |
124 |
97 |
$11K |
| T1014 |
Telehealth transmit, per min |
448 |
167 |
$8K |
| 90791 |
|
30 |
30 |
$3K |