SPLENDOR HILLS INCORPORATED
NPI: 1225232671
· GRAND PRAIRIE, TX 75051
· In Home Supportive Care Agency
· NPI assigned 06/11/2007
$1.84M
Total Medicaid Paid
Provider Details
| Authorized Official | AZENABOR, EDOLO (ADMINISTRATOR) |
| NPI Enumeration Date | 06/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
207 |
$343K |
| 2023 |
3,575 |
$1.03M |
| 2024 |
1,180 |
$458K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
787 |
446 |
$1.60M |
| H2014 |
Skills training and development, per 15 minutes |
4,114 |
232 |
$213K |
| T2020 |
Day habilitation, waiver; per diem |
48 |
26 |
$19K |
| T1002 |
Rn services, up to 15 minutes |
13 |
13 |
$455.64 |