COWLITZ INDIAN TRIBE
NPI: 1972962165
· VANCOUVER, WA 98665
· Health Service Clinic/Center
· NPI assigned 02/16/2016
$1.07M
Total Medicaid Paid
Provider Details
| Authorized Official | KELLER, SHAVON (BILLING SUPERVISOR) |
| Parent Organization | COWLITZ INDIAN TRIBE |
| NPI Enumeration Date | 02/16/2016 |
Related Entities
Other providers sharing the same authorized official: KELLER, SHAVON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,328 |
$509K |
| 2019 |
2,468 |
$485K |
| 2020 |
308 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,004 |
1,634 |
$1.00M |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,341 |
562 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
346 |
181 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
164 |
99 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
184 |
102 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
65 |
24 |
$798.18 |