TAX ID|SERVICE TYPE|SERVICE|PER DIEM RAGE|NOTE
58-1086339|INPATIENT|Detox|857|All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.
58-1086339|INPATIENT|Rehab|798|All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.
58-1086339|OUTPATIENT|Partial Hospitalization|533|All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.
58-1086339|OUTPATIENT|Intensive Outpatient|153|All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.
58-1086339|OTHER|Individual with Licensed Therapist|97 |All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.
58-1086339|OTHER|Individual with Certified Addiction Counselor|83 |All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.
58-1086339|OTHER|Group Therapy Session|68 |All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.
58-1086339|OTHER|Family Therapy Session|130 |All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.
58-1086339|OTHER|Substance Abuse Assessment (other Licensed Practitioner)|163 |All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.
58-1086339|OTHER|Physician initial Assessment|175 |All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.
58-1086339|OTHER|Physician Routine Visit|107 |All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the per diem rates.