STATE OF NEVADA
NPI: 1205075496
· FALLON, NV 89406
· Case Management Agency
· NPI assigned 02/11/2009
$127K
Total Medicaid Paid
Provider Details
| Authorized Official | MCMILLIN, SIRI (BILLING SUPERVISOR) |
| NPI Enumeration Date | 02/11/2009 |
Related Entities
Other providers sharing the same authorized official: MCMILLIN, SIRI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
38 |
$5K |
| 2021 |
62 |
$13K |
| 2022 |
164 |
$34K |
| 2023 |
180 |
$31K |
| 2024 |
176 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1017 |
Targeted case management, each 15 minutes |
620 |
271 |
$127K |