Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC

NPI: 1740384049 · TULSA, OK 74133 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 09/08/2006

$125K
Total Medicaid Paid
1,928
Total Claims
966
Beneficiaries
10
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialWORSHAM, SHARON (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date09/08/2006

Related Entities

Other providers sharing the same authorized official: WORSHAM, SHARON

ProviderCityStateTotal Paid
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC TULSA OK $359K
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC TULSA OK $114K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,928 $125K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 1,601 666 $101K
99223 Prolong inpt eval add15 m 69 66 $9K
99239 Hospital discharge day management, more than 30 minutes 60 56 $4K
99232 Subsequent hospital care, per day, moderate complexity 50 43 $3K
H0032 Mental health service plan development by non-physician 37 37 $3K
90792 Psychiatric diagnostic evaluation with medical services 18 18 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21 20 $2K
99233 Prolong inpt eval add15 m 26 14 $1K
99221 12 12 $1K
T1017 Targeted case management, each 15 minutes 34 34 $662.97