MOHICAN YOUTH ACADEMY LLC
NPI: 1801208582
· PERRYSVILLE, OH 44864
· Children's Substance Abuse Rehabilitation Facility
· NPI assigned 05/29/2014
Provider Details
| Authorized Official | BRUNO, WENDY (CREDENTIALING) |
| NPI Enumeration Date | 05/29/2014 |
Related Entities
Other providers sharing the same authorized official: BRUNO, WENDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,820 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,199 |
118 |
$42K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
561 |
114 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
18 |
$661.40 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
19 |
18 |
$288.10 |
| Q3014 |
Telehealth originating site facility fee |
22 |
21 |
$85.12 |