EDUCATIONAL SERVICE DISTRICT 112
NPI: 1790008928
· VANCOUVER, WA 98661
· Local Education Agency (LEA)
· NPI assigned 03/02/2010
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | HOTTMAN, GAVIN (BUDGET ANALYST) |
| NPI Enumeration Date | 03/02/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
436 |
$34K |
| 2024 |
1,058 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90837 |
Psychotherapy, 53 minutes with patient |
554 |
289 |
$53K |
| 90834 |
Psychotherapy, 45 minutes with patient |
476 |
262 |
$31K |
| 90832 |
Psychotherapy, 30 minutes with patient |
371 |
192 |
$17K |
| 90791 |
Psychiatric diagnostic evaluation |
56 |
47 |
$5K |
| H0046 |
Mental health services, not otherwise specified |
37 |
37 |
$931.80 |