FAIRBANKS RESOURCE AGENCY INC
NPI: 1205053006
· FAIRBANKS, AK 99701
· Case Management Agency
· NPI assigned 04/20/2007
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | ENNIS, EMILY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/20/2007 |
Related Entities
Other providers sharing the same authorized official: ENNIS, EMILY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
104 |
$28K |
| 2019 |
120 |
$29K |
| 2020 |
29 |
$7K |
| 2021 |
101 |
$27K |
| 2022 |
49 |
$12K |
| 2023 |
76 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2024 |
Service assessment/plan of care development, waiver |
479 |
317 |
$121K |