PREMIUM DIRECT CARE PROVIDERS INC.
NPI: 1346615085
· PUEBLO, CO 81001
· 261QD1600X
$1.09M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
571 |
$945K |
| 2019 |
94 |
$143K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
450 |
218 |
$1.05M |
| T2003 |
N-et; encounter/trip |
215 |
209 |
$40K |