PROVIDING EQUAL OPPORTUNITY PROGRESSIVE LIVING ENVIRONMENTS, LLC
NPI: 1174782304
· FREDERICKSBURG, VA 22408
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 06/03/2008
$2.89M
Total Medicaid Paid
Provider Details
| Authorized Official | DAMERON, JUSTIN (OWNER/DIRECTOR OF FINANCE) |
| NPI Enumeration Date | 06/03/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,704 |
$372K |
| 2019 |
1,683 |
$395K |
| 2020 |
874 |
$277K |
| 2021 |
745 |
$223K |
| 2022 |
1,326 |
$444K |
| 2023 |
1,561 |
$583K |
| 2024 |
1,469 |
$596K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
4,847 |
1,089 |
$1.67M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
4,515 |
1,026 |
$1.22M |