PRO ACTIVE ADVANTAGE, LLC
NPI: 1730200460
· GOODING, ID 83330
· 103TB0200X
$576K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,140 |
$105K |
| 2019 |
8,126 |
$202K |
| 2020 |
3,777 |
$122K |
| 2021 |
4,762 |
$147K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97537 |
|
13,506 |
656 |
$253K |
| H2032 |
Activity therapy, per 15 min |
6,667 |
605 |
$248K |
| H2019 |
Ther behav svc, per 15 min |
479 |
92 |
$51K |
| 96152 |
|
153 |
28 |
$24K |