MADRONA RECOVERY
NPI: 1992238091
· TIGARD, OR 97223
· Substance Abuse Rehabilitation Facility
· NPI assigned 04/05/2017
$312K
Total Medicaid Paid
Provider Details
| Authorized Official | BRAITHWAITE, MICAH (COO/CFO) |
| NPI Enumeration Date | 04/05/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
23 |
$88K |
| 2024 |
32 |
$224K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
55 |
26 |
$312K |