PROVIDENT ARC LLC
NPI: 1285957761
· WOODBRIDGE, VA 22191
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 03/11/2010
$11.24M
Total Medicaid Paid
Provider Details
| Authorized Official | ROUNDTREE, REYNALDO (CO-OWNER) |
| NPI Enumeration Date | 03/11/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,309 |
$1.86M |
| 2019 |
1,312 |
$1.90M |
| 2020 |
1,085 |
$1.58M |
| 2021 |
847 |
$1.44M |
| 2022 |
718 |
$1.53M |
| 2023 |
802 |
$1.86M |
| 2024 |
426 |
$1.08M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Community-based wrap-around services, per diem |
6,499 |
1,261 |
$11.24M |