SAM'S PLACE
NPI: 1295088839
· WHARTON, TX 77488
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 10/19/2012
$2.16M
Total Medicaid Paid
Provider Details
| Authorized Official | FORD, NICOLE (PROGRAM MANAGER) |
| NPI Enumeration Date | 10/19/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,160 |
$565K |
| 2023 |
3,260 |
$777K |
| 2024 |
3,823 |
$819K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
1,412 |
454 |
$1.83M |
| H2014 |
Skills training and development, per 15 minutes |
5,920 |
275 |
$246K |
| T2020 |
Day habilitation, waiver; per diem |
911 |
123 |
$81K |