TAX ID|NPI |SERVICES|DESCRIPTION|PER DIEM RATE|NOTES
233044975|1023095429|Inpatient|Adult Psych|$650.00*|Inclusive of ancillary charges but exclusive of physicians' fees.
233044975|1023095429|Inpatient|Adolescent Psych|$650.00*|Inclusive of ancillary charges but exclusive of physicians' fees.
233044975|1023095429|Inpatient|Child Psych|$650.00*|Inclusive of ancillary charges but exclusive of physicians' fees.
233044975|1023095429|Inpatient|Geriatric Psych|$650.00*|Inclusive of ancillary charges but exclusive of physicians' fees.
233044975|1023095429|Inpatient|Adult Detox & Inpatient CD|$650.00**|Inclusive of ancillary charges and physicians' fees.
233044975|1023095429|Partial Hospitialization|Geriatric Psych|$360.00*|Inclusive of ancillary charges but exclusive of physicians' fees.
233044975|1023095429|Partial Hospitialization|Adult Psych|$360.00*|Inclusive of ancillary charges but exclusive of physicians' fees.
233044975|1023095429|Partial Hospitialization|Adolescent Psych|$360.00*|Inclusive of ancillary charges but exclusive of physicians' fees.
233044975|1023095429|Partial Hospitialization|Child Psych|$360.00*|Inclusive of ancillary charges but exclusive of physicians' fees.
233044975|1023095429|Partial Hospitialization|Adult CD|$360.00|
233044975|1023095429|Intensive Outpatient|All Ages CD|$180.00**|Inclusive of ancillary charges and physicians' fees.
233044975|1023095429|Inpatient and Outpatient |ECT|$475.00**|Inclusive of ancillary charges and physicians' fees.
233044975|1023095429||||ALL RATES ARE EXCLUSIVE OF PSYCHOLOGICAL TESTING.