Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › LAKEWOOD › JEFFERSON CENTER FOR MENTAL HEALTH

JEFFERSON CENTER FOR MENTAL HEALTH

NPI: 1861574642 · LAKEWOOD, CO 80215 · Clinic Pharmacy · NPI assigned 10/20/2006

$28K
Total Medicaid Paid
760
Total Claims
736
Beneficiaries
9
Codes Billed
2020-10
First Month
2022-01
Last Month

Provider Details

Authorized OfficialVANDER KOOI, ANDREW (PHARMACY DIRECTOR)
NPI Enumeration Date10/20/2006

Related Entities

Other providers sharing the same authorized official: VANDER KOOI, ANDREW

ProviderCityStateTotal Paid
JEFFERSON CENTER FOR MENTAL HEALTH WHEAT RIDGE CO $494.16

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 38 $670.86
2021 706 $27K
2022 16 $658.88

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 239 237 $9K
0012A 183 180 $7K
0011A 191 177 $7K
0004A 69 68 $3K
0072A 14 12 $752.70
0071A 12 12 $690.93
0031A 14 14 $535.34
90756 19 18 $343.27
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19 18 $327.59