Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SUCCESS RESIDENCE LLC
NPI: 1225621485 · SAN TAN VALLEY, AZ 85143 ·
101YA0400X
$62K
Total Medicaid Paid
17
Total Claims
12
Beneficiaries
1
Codes Billed
2022-09
First Month
2022-09
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2022
17
$62K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
H0018
Alcohol and/or drug services
17
12
$62K