SU VIDA SERVICES, INC.
NPI: 1174740856
· ALBUQUERQUE, NM 87110
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 04/20/2007
$24.56M
Total Medicaid Paid
Provider Details
| Authorized Official | MIRACLE, VICKI (TREASURE) |
| NPI Enumeration Date | 04/20/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,473 |
$3.07M |
| 2019 |
1,263 |
$2.64M |
| 2020 |
6,410 |
$2.61M |
| 2021 |
19,083 |
$3.01M |
| 2022 |
21,336 |
$3.87M |
| 2023 |
28,552 |
$5.65M |
| 2024 |
18,544 |
$3.71M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
64,459 |
3,546 |
$15.23M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
29,255 |
3,380 |
$8.83M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,756 |
388 |
$463K |
| S5125 |
Attendant care services; per 15 minutes |
176 |
14 |
$37K |
| T1002 |
Rn services, up to 15 minutes |
15 |
12 |
$688.97 |