S48WY1, LLC
NPI: 1891994950
· CASPER, WY 82601
· Substance Abuse Rehabilitation Facility
· NPI assigned 07/17/2007
$112K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CONSTANTINO, AMANDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,129 |
$88K |
| 2019 |
164 |
$8K |
| 2020 |
37 |
$2K |
| 2021 |
54 |
$3K |
| 2022 |
73 |
$4K |
| 2023 |
87 |
$4K |
| 2024 |
47 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Therapeutic behavioral services, per 15 minutes |
424 |
151 |
$39K |
| 90837 |
Psychotherapy, 53 minutes with patient |
434 |
178 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
323 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
217 |
161 |
$15K |
| G9012 |
Other specified case management service not elsewhere classified |
122 |
57 |
$4K |
| 81003 |
|
18 |
12 |
$46.80 |