Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › BOLIVAR › SOUTHERN LIGHT RESIDENTIAL

SOUTHERN LIGHT RESIDENTIAL

NPI: 1801312459 · BOLIVAR, MO 65613 · Professional Counselor · NPI assigned 08/16/2017

$173K
Total Medicaid Paid
5,917
Total Claims
1,863
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialDRAKE, CINDY (ADMIN DIRECTOR)
NPI Enumeration Date08/16/2017

Related Entities

Other providers sharing the same authorized official: DRAKE, CINDY

ProviderCityStateTotal Paid
SOUTHERN LIGHT COUNSELING SPRINGFIELD MO $76K
SOUTHERN LIGHT COMMUNITY COUNSELING BOLIVAR MO $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,263 $99K
2019 2,654 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90853 Group psychotherapy (other than of a multiple-family group) 3,880 1,273 $89K
90834 Psychotherapy, 45 minutes with patient 1,907 546 $82K
90832 Psychotherapy, 30 minutes with patient 116 31 $1K
90791 Psychiatric diagnostic evaluation 14 13 $531.30