SEQUEL POMEGRANATE HEALTH SYSTEMS, LLC
NPI: 1780037275
· COLUMBUS, OH 43223
· 323P00000X
$5.28M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
63,912 |
$3.95M |
| 2019 |
16,826 |
$924K |
| 2020 |
5,974 |
$407K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Ther behav svc, per 15 min |
10,832 |
1,430 |
$1.95M |
| H0036 |
Comm psy face-face per 15min |
41,198 |
6,460 |
$1.79M |
| H2020 |
Ther behav svc, per diem |
5,273 |
901 |
$576K |
| 90837 |
|
6,828 |
2,172 |
$358K |
| 90853 |
|
9,617 |
1,652 |
$135K |
| 99214 |
|
1,091 |
678 |
$116K |
| 99213 |
|
2,109 |
960 |
$106K |
| H2017 |
Psysoc rehab svc, per 15 min |
5,228 |
1,886 |
$93K |
| 99215 |
Prolong outpt/office vis |
304 |
124 |
$48K |
| 90834 |
|
942 |
497 |
$33K |
| 90832 |
|
906 |
415 |
$26K |
| 90791 |
|
457 |
310 |
$18K |
| H2012 |
Behav hlth day treat, per hr |
330 |
136 |
$12K |
| 99205 |
Prolong outpt/office vis |
50 |
46 |
$9K |
| 90785 |
|
746 |
254 |
$6K |
| 99212 |
|
139 |
83 |
$3K |
| 96101 |
|
96 |
27 |
$3K |
| 99211 |
|
178 |
134 |
$3K |
| H0004 |
Alcohol and/or drug services |
107 |
31 |
$2K |
| 99204 |
|
13 |
12 |
$2K |
| 90863 |
|
268 |
89 |
$0.00 |