DIVINE LIGHT RESIDENTIAL TREATMENT LLC
NPI: 1962147082
· BALTIMORE, MD 21223
· Substance Abuse Rehabilitation Facility
· NPI assigned 05/03/2022
$33.86M
Total Medicaid Paid
Provider Details
| Authorized Official | DEAN, SAKINA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 05/03/2022 |
Related Entities
Other providers sharing the same authorized official: DEAN, SAKINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
7,284 |
$2.05M |
| 2023 |
71,069 |
$14.86M |
| 2024 |
74,954 |
$16.95M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
63,131 |
4,377 |
$19.05M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
68,096 |
5,116 |
$12.20M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,234 |
5,476 |
$1.77M |
| H0001 |
Alcohol and/or drug assessment |
2,273 |
2,261 |
$464K |
| 99205 |
Prolong outpt/office vis |
1,573 |
1,564 |
$372K |