WAGONER CARE LLC
NPI: 1093373318
· GLENDALE, AZ 85308
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 06/01/2019
$932K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HUGHES, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
112 |
$83K |
| 2022 |
442 |
$379K |
| 2023 |
292 |
$285K |
| 2024 |
174 |
$185K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
1,020 |
257 |
$932K |