MARYVILLE ACADEMY
NPI: 1275771214
· BARTLETT, IL 60103
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 01/29/2009
$357K
Total Medicaid Paid
Provider Details
| Authorized Official | WOULFE, NANCY (DIRECTOR OF BUSINESS DEVELOPMENT) |
| NPI Enumeration Date | 01/29/2009 |
Related Entities
Other providers sharing the same authorized official: WOULFE, NANCY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,594 |
$116K |
| 2019 |
1,298 |
$31K |
| 2020 |
368 |
$9K |
| 2021 |
5,678 |
$162K |
| 2022 |
1,426 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
8,940 |
363 |
$193K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,563 |
310 |
$141K |
| T1016 |
Case management, each 15 minutes |
861 |
200 |
$22K |