INDIVIDUAL CANVAS LLC
NPI: 1245938257
· PUEBLO, CO 81005
· Transportation Broker
· NPI assigned 02/20/2023
$500K
Total Medicaid Paid
Provider Details
| Authorized Official | SANDOVAL, THERESA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 02/20/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
610 |
$500K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
296 |
72 |
$367K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
314 |
85 |
$132K |