JFOX II LLC
NPI: 1144835968
· MESA, AZ 85205
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 09/09/2020
$171K
Total Medicaid Paid
Provider Details
| Authorized Official | WILENS, ERIC (LLC MANAGER) |
| NPI Enumeration Date | 09/09/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
45 |
$99K |
| 2023 |
16 |
$72K |
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 |
61 |
36 |
$171K |