PHOENIX RISING BEHAVIORAL HEALTH LLC
NPI: 1912559584
· N LAS VEGAS, NV 89030
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 07/12/2019
$276K
Total Medicaid Paid
Provider Details
| Authorized Official | BOUYER, STEVIE (OWNER) |
| NPI Enumeration Date | 07/12/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,337 |
$276K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9480 |
Intensive outpatient psychiatric services, per diem |
2,277 |
249 |
$271K |
| 90876 |
|
60 |
15 |
$5K |