CROTCHED MOUNTAIN REHABILITATION CENTER, INC.
NPI: 1891721262
· GREENFIELD, NH 03047
· Child & Adolescent Psychiatry Physician
· NPI assigned 06/25/2006
$1.59M
Total Medicaid Paid
Provider Details
| Authorized Official | WARD, KELLY (VP OF FINANCE) |
| NPI Enumeration Date | 06/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
552 |
$513K |
| 2019 |
365 |
$797K |
| 2020 |
22 |
$50K |
| 2022 |
1,469 |
$235K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
586 |
283 |
$1.29M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
1,027 |
88 |
$216K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
341 |
66 |
$66K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
442 |
84 |
$19K |
| 90682 |
|
12 |
12 |
$0.00 |