NPI: 1760940639 · IDAHO FALLS, ID 83404 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 03/08/2019
| Authorized Official | SMITH, GARRETT (AUTHORIZED OFFICIAL/OWNER) |
| NPI Enumeration Date | 03/08/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 499 | $30K |
| 2020 | 3,242 | $139K |
| 2021 | 54 | $296.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 2,583 | 741 | $143K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | 735 | 213 | $14K |
| 90791 | Psychiatric diagnostic evaluation | 48 | 45 | $5K |
| T1016 | Case management, each 15 minutes | 69 | 29 | $5K |
| T2002 | Non-emergency transportation; per diem | 345 | 147 | $2K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 15 | 12 | $808.50 |