MISSOURI SPEECH THERAPY
NPI: 1821400474
· BOLIVAR, MO 65613
· Speech-Language Pathologist
· NPI assigned 05/29/2014
$161K
Total Medicaid Paid
Provider Details
| Authorized Official | ETHRIDGE, MARY (SPEECH/LANGUAGE PATHOLOGIST) |
| NPI Enumeration Date | 05/29/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
725 |
$53K |
| 2019 |
806 |
$70K |
| 2020 |
425 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,956 |
627 |
$161K |