Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › HEREFORD › MARY'S MISSION & DEVELOPMENTAL CENTER, INC.

MARY'S MISSION & DEVELOPMENTAL CENTER, INC.

NPI: 1336250190 · HEREFORD, AZ 85615 · Emotionally Disturbed Childrens' Residential Treatment Facility · NPI assigned 08/31/2006

$146K
Total Medicaid Paid
253
Total Claims
65
Beneficiaries
2
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialLACEY, WILLIAM (CEO/ADMINISTRATOR)
NPI Enumeration Date08/31/2006

Related Entities

Other providers sharing the same authorized official: LACEY, WILLIAM

ProviderCityStateTotal Paid
MARY'S MISSION & DEVELOPMENTAL CENTER, INC. MESA AZ $6.10M
MARY'S MISSION & DEVELOPMENTAL CENTER, INC SIERRA VISTA AZ $2.43M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23 $68K
2021 18 $60K
2022 78 $7K
2023 134 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 41 25 $128K
H0004 Behavioral health counseling and therapy, per 15 minutes 212 40 $18K