NPI: 1780254920 · SAINT CLOUD, MN 56301 · 253Z00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,250 | $222K |
| 2023 | 8,202 | $1.35M |
| 2024 | 10,288 | $1.39M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | 15,752 | 2,390 | $2.64M |
| H2015 | Comp comm supp svc, 15 min | 2,911 | 455 | $247K |
| H0032 | Mh svc plan dev by non-md | 427 | 389 | $31K |
| H0031 | Mh health assess by non-md | 367 | 330 | $26K |
| 90791 | 245 | 222 | $21K | |
| T2024 | Serv asmnt/care plan waiver | 14 | 14 | $3K |
| H0034 | Med trng & support per 15min | 24 | 16 | $1K |