GREAT HEIGHTS OTP
NPI: 1720516099
· CALUMET CITY, IL 60409
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 05/31/2017
$418.25
Total Medicaid Paid
Provider Details
| Authorized Official | FATOKI, ADEYEMI (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 05/31/2017 |
Related Entities
Other providers sharing the same authorized official: FATOKI, ADEYEMI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$418.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
13 |
13 |
$418.25 |