CLAY COUNTY
NPI: 1013113646
· HAYESVILLE, NC 28904
· Case Management Agency
· NPI assigned 06/21/2007
$378K
Total Medicaid Paid
Provider Details
| Authorized Official | MOSS, REVONDA (ADMINISTRATOR OFFICER) |
| NPI Enumeration Date | 06/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
825 |
$4K |
| 2022 |
1,129 |
$71K |
| 2023 |
7,638 |
$200K |
| 2024 |
8,164 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
499 |
470 |
$177K |
| T1016 |
Case management, each 15 minutes |
361 |
343 |
$123K |
| 99199 |
Unlisted special service, procedure or report |
16,896 |
8,896 |
$78K |