Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › TUBA CITY › SEQUEL TSI OF AZ, LLC

SEQUEL TSI OF AZ, LLC

NPI: 1790015428 · TUBA CITY, AZ 86045 · Adult Mental Health Clinic/Center · NPI assigned 12/31/2009

$458K
Total Medicaid Paid
2,963
Total Claims
449
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialBANKEN, CHRIS (EXECUTIVE DIRECTOR)
Parent OrganizationSEQUELCARE OF AZ, LLC
NPI Enumeration Date12/31/2009

Related Entities

Other providers sharing the same authorized official: BANKEN, CHRIS

ProviderCityStateTotal Paid
SEQUEL TSI OF AZ, LLC CHINLE AZ $1.16M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 454 $186K
2019 1,653 $191K
2020 856 $81K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2020 Therapeutic behavioral services, per diem 1,879 183 $338K
S0215 Non-emergency transportation; mileage, per mile 542 133 $95K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 542 133 $25K