COYOTE CANYON REHABILITATION CENTER, INC.
NPI: 1255622965
· BRIMHALL, NM 87310
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 04/28/2011
$8.69M
Total Medicaid Paid
Provider Details
| Authorized Official | AVERY, MACDONALD (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/28/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,187 |
$643K |
| 2021 |
9,700 |
$1.93M |
| 2022 |
8,448 |
$1.62M |
| 2023 |
10,719 |
$2.31M |
| 2024 |
9,808 |
$2.19M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
26,766 |
975 |
$7.27M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
13,866 |
868 |
$1.26M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,230 |
173 |
$155K |