VITALITY YOUTH SERVICES, LLC
NPI: 1346863180
· MONROE, WI 53566
· 251C00000X
$418K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
161 |
$18K |
| 2021 |
1,595 |
$187K |
| 2022 |
1,546 |
$213K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2037 |
Camp day waiver/session |
802 |
141 |
$238K |
| T1005 |
Respite care service 15 min |
551 |
198 |
$77K |
| T2003 |
N-et; encounter/trip |
568 |
100 |
$58K |
| T2013 |
Habil ed waiver per hour |
466 |
135 |
$37K |
| S0215 |
Nonemerg transp mileage |
863 |
195 |
$5K |
| T2017 |
Habil res waiver 15 min |
52 |
13 |
$4K |