NOOKSACK CENTRAL MANAGEMENT SYSTEM
NPI: 1891909867
· EVERSON, WA 98247
· Substance Abuse Rehabilitation Facility
· NPI assigned 05/09/2007
$2.58M
Total Medicaid Paid
Provider Details
| Authorized Official | DAVENPORT, ERIC (GOVERNMENTAL SERVICE EXEC.) |
| NPI Enumeration Date | 05/09/2007 |
Related Entities
Other providers sharing the same authorized official: DAVENPORT, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,351 |
$400K |
| 2019 |
732 |
$177K |
| 2020 |
1,816 |
$270K |
| 2021 |
3,083 |
$486K |
| 2022 |
2,636 |
$498K |
| 2023 |
2,497 |
$511K |
| 2024 |
907 |
$238K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
6,212 |
1,583 |
$2.28M |
| 96165 |
|
3,061 |
698 |
$158K |
| 96153 |
|
1,093 |
252 |
$60K |
| 96164 |
|
3,147 |
722 |
$56K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
239 |
204 |
$19K |
| 96168 |
|
103 |
71 |
$7K |
| 96167 |
|
119 |
83 |
$4K |
| 96154 |
|
17 |
14 |
$1K |
| 80305 |
|
13 |
12 |
$142.60 |
| 80101 |
|
18 |
12 |
$0.00 |