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SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
NPI: 1821105263
· TULSA, OK 74133
· Emotionally Disturbed Childrens' Residential Treatment Facility
· NPI assigned 08/23/2006
$114K
Total Medicaid Paid
Provider Details
| Authorized Official | WORSHAM, SHARON (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 08/23/2006 |
Related Entities
Other providers sharing the same authorized official: WORSHAM, SHARON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,264 |
$114K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2014 |
Skills training and development, per 15 minutes |
2,110 |
92 |
$98K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
154 |
46 |
$15K |