NP / PA
Soul Surgery LLC
Soul Surgery LLC was paid $16.44M by Medicaid between Dec 2021 and Feb 2024, across 35 billing codes. Its largest line is H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education — 74% of everything it billed.
33Billing provider infoSOUL SURGERY LLC
SCOTTSDALE, AZ 85260
SCOTTSDALE, AZ 85260
33aNPI1871026674assigned 04/07/2017
33bProvider typeAdult Psychiatric/Mental Health Clinical Nurse Specialist
28Total paid$16.44M
24GClaims25,075
24DCodes billed35
24AFirst – last monthDec 2021 – Feb 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 49 | $319K | |
| 2022 | 2,745 | $8.59M | |
| 2023 | 21,191 | $7.48M | |
| 2024incomplete | 1,090 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 74% | 3,492 | 468 | $12.11M |
| S9480 | Intensive outpatient psychiatric services, per diem | 11% | 4,889 | 380 | $1.80M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 6.3% | 3,159 | 326 | $1.04M |
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 6.1% | 3,238 | 188 | $1.01M |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 2,457 | 511 | $101K |
| 98943 | <1% | 2,450 | 510 | $66K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 566 | 128 | $47K |
| T1016 | Case management, each 15 minutes | <1% | 946 | 185 | $46K |
| T1002 | Rn services, up to 15 minutes | <1% | 572 | 37 | $31K |
| H0031 | Mental health assessment, by non-physician | <1% | 113 | 111 | $25K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 696 | 244 | $20K |
| 82075 | <1% | 644 | 117 | $19K |
23 more codes
| 97124 | <1% | 146 | $17K | |
| 90876 | <1% | 130 | $15K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 216 | $14K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 212 | $13K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 133 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 121 | $9K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 45 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 75 | $8K |
| 99205 | Prolong outpt/office vis | <1% | 30 | $4K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 53 | $4K |
| 80305 | <1% | 266 | $3K | |
| 72040 | <1% | 55 | $2K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 45 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $2K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 42 | $1K |
| 72052 | <1% | 14 | $913.64 | |
| 90901 | <1% | 23 | $702.88 | |
| 72100 | <1% | 13 | $543.66 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 72 | $463.71 |
| H2014 | Skills training and development, per 15 minutes | <1% | 16 | $355.71 |
| H2027 | Psychoeducational service, per 15 minutes | <1% | 35 | $333.81 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 56 | $62.02 |
| 98960 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHAKESPEARE, REGINA (BILLING COMPLIANCE OFFICER)