IMPACT HOME LLC
NPI: 1194436337
· LITCHFIELD PARK, AZ 85340
· Respite Care
· NPI assigned 12/08/2022
$149K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
1,517 |
$149K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
1,014 |
48 |
$95K |
| S5125 |
Attendant care services; per 15 minutes |
503 |
29 |
$54K |