PROVISO PUBLIC PARTNERSHIP
NPI: 1801304142
· HILLSIDE, IL 60162
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 01/22/2018
$255K
Total Medicaid Paid
Provider Details
| Authorized Official | MINELLA, KATE (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 01/22/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
103 |
$2K |
| 2022 |
720 |
$41K |
| 2023 |
991 |
$89K |
| 2024 |
1,289 |
$124K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,626 |
869 |
$199K |
| T1016 |
Case management, each 15 minutes |
1,462 |
875 |
$53K |
| H2000 |
Comprehensive multidisciplinary evaluation |
15 |
13 |
$3K |