STEVENS COUNTY
NPI: 1922517192
· COLVILLE, WA 99114
· Psychiatric Residential Treatment Facility
· NPI assigned 09/20/2017
$128K
Total Medicaid Paid
Provider Details
| Authorized Official | NIELSEN, DAVID (EXECUTIVE DIRECTOR) |
| Parent Organization | STEVENS COUNTY |
| NPI Enumeration Date | 09/20/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18 |
$0.00 |
| 2019 |
183 |
$128K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2013 |
Psychiatric health facility service, per diem |
140 |
15 |
$126K |
| H2023 |
Supported employment, per 15 minutes |
43 |
24 |
$2K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
18 |
12 |
$0.00 |