MAGIC CITY ENTERPRISES, INC
NPI: 1194895359
· CHEYENNE, WY 82001
· Clinical Psychologist
· NPI assigned 11/08/2006
$23.66M
Total Medicaid Paid
Provider Details
| Authorized Official | LILEY, MANDY (VICE PRESIDENT OF BUSINESS SERVICES) |
| NPI Enumeration Date | 11/08/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32,847 |
$3.70M |
| 2019 |
30,864 |
$3.66M |
| 2020 |
28,640 |
$3.75M |
| 2021 |
26,913 |
$3.32M |
| 2022 |
26,357 |
$3.19M |
| 2023 |
24,948 |
$3.21M |
| 2024 |
20,908 |
$2.83M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
77,769 |
2,611 |
$15.11M |
| S5100 |
Day care services, adult; per 15 minutes |
47,250 |
3,062 |
$3.69M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
37,254 |
2,114 |
$3.11M |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
17,709 |
1,505 |
$1.04M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
11,273 |
1,772 |
$707K |
| 97532 |
|
222 |
88 |
$15K |