EVERGREEN THERAPEUTIC TREATMENT CENTERS LLC
NPI: 1720665987
· PARKERSBURG, WV 26101
· Adolescent and Children Mental Health Clinic/Center
· NPI assigned 03/25/2021
$3.27M
Total Medicaid Paid
Provider Details
| Authorized Official | TUTTLE, JAMIE (CHIEF EXECUTIVE OF OPERATIONS) |
| NPI Enumeration Date | 03/25/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
10,032 |
$731K |
| 2023 |
17,588 |
$1.29M |
| 2024 |
18,498 |
$1.24M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
36,486 |
1,082 |
$2.71M |
| H2014 |
Skills training and development, per 15 minutes |
7,880 |
905 |
$462K |
| H2011 |
Crisis intervention service, per 15 minutes |
955 |
256 |
$53K |
| T1017 |
Targeted case management, each 15 minutes |
584 |
308 |
$25K |
| H0032 |
Mental health service plan development by non-physician |
213 |
199 |
$19K |