NPI: 1306154992 · FORT WORTH, TX 76116 · 251S00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 790 | $524K |
| 2023 | 13,326 | $2.93M |
| 2024 | 18,351 | $4.78M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | 13,302 | 2,955 | $7.41M |
| H2014 | Skills train and dev, 15 min | 15,334 | 749 | $600K |
| T1002 | Rn services up to 15 minutes | 2,187 | 836 | $74K |
| T2020 | Day habil waiver per diem | 595 | 119 | $71K |
| D0120 | 142 | 119 | $52K | |
| T1003 | Lpn/lvn services up to 15min | 507 | 181 | $8K |
| H2019 | Ther behav svc, per 15 min | 92 | 31 | $6K |
| M0315 | 126 | 112 | $4K | |
| M0248 | Sotrovimab inf, home admin | 182 | 144 | $944.23 |