WHITE BUFFALO RECOVERY CENTER
NPI: 1902213093
· ARAPAHOE, WY 82510
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 07/21/2014
$235K
Total Medicaid Paid
Provider Details
| Authorized Official | GOGGLES, SUNNY (DIRECTOR) |
| NPI Enumeration Date | 07/21/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
30 |
$14K |
| 2023 |
149 |
$97K |
| 2024 |
270 |
$124K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
425 |
132 |
$235K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
24 |
13 |
$0.00 |