PEDIATRIC RESOURCE CENTER OF ALASKA
NPI: 1720600570
· WASILLA, AK 99654
· Community/Behavioral Health Agency
· NPI assigned 05/15/2020
$611K
Total Medicaid Paid
Provider Details
| Authorized Official | PACKA, MARSHAL (EXECUTIVE MANAGER) |
| NPI Enumeration Date | 05/15/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,596 |
$256K |
| 2022 |
1,713 |
$291K |
| 2023 |
555 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
3,548 |
404 |
$582K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
316 |
106 |
$29K |