NPI: 1861884579 · SAINT PAUL, MN 55104 · Substance Abuse Rehabilitation Facility · NPI assigned 03/04/2015
| Authorized Official | WILSON, JENNIFER (BILLING MANAGER) |
| Parent Organization | THE WAYSIDE HOUSE, INC |
| NPI Enumeration Date | 03/04/2015 |
Other providers sharing the same authorized official: WILSON, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| THE WAYSIDE HOUSE, INC | SAINT LOUIS PARK | MN | $7.90M |
| THE WAYSIDE HOUSE, INC. | MINNEAPOLIS | MN | $3.00M |
| CENTER FOR SPEECH AND LANGUAGE PATHOLOGY, LLC | HUNTSVILLE | AL | $1.15M |
| ONE SOURCE MEDICAL SOLUTIONS, INC. | DALLAS | TX | $888K |
| COMPREHENSIVE COMMUNITY SUPPORTIVE SERVICES PLLC | BURLINGTON | NC | $313K |
| MAIN STREET DENTAL OF SALT LAKE CITY | SALT LAKE CITY | UT | $78K |
| HOPEWELL MENTAL HEALTH SERVICES, LLC | DUBLIN | OH | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,827 | $10K |
| 2019 | 1,466 | $127K |
| 2020 | 2,472 | $192K |
| 2021 | 2,770 | $216K |
| 2022 | 4,489 | $306K |
| 2023 | 2,977 | $261K |
| 2024 | 3,166 | $316K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2035 | Alcohol and/or other drug treatment program, per hour | 15,875 | 1,527 | $1.18M |
| 90837 | Psychotherapy, 53 minutes with patient | 1,415 | 560 | $119K |
| H0001 | Alcohol and/or drug assessment | 383 | 325 | $50K |
| 90834 | Psychotherapy, 45 minutes with patient | 789 | 497 | $49K |
| 90832 | Psychotherapy, 30 minutes with patient | 247 | 183 | $12K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 93 | 88 | $8K |
| 90791 | Psychiatric diagnostic evaluation | 60 | 56 | $6K |
| T1016 | Case management, each 15 minutes | 202 | 72 | $2K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19 | 16 | $1K |
| 90785 | 84 | 55 | $840.91 |