PENNINGTON CREEK LIFEHOUSE
NPI: 1962799593
· TISHOMINGO, OK 73460
· Case Management Agency
· NPI assigned 07/04/2011
$2.19M
Total Medicaid Paid
Provider Details
| Authorized Official | OWENS, JAN (OWNER/ THERAPIST) |
| NPI Enumeration Date | 07/04/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,132 |
$859K |
| 2019 |
12,364 |
$832K |
| 2020 |
7,499 |
$501K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
26,813 |
5,471 |
$1.76M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
5,825 |
1,281 |
$408K |
| H0032 |
Mental health service plan development by non-physician |
327 |
321 |
$23K |
| H0031 |
Mental health assessment, by non-physician |
30 |
30 |
$3K |