JAMES W WALLACE DBA SOUTHERN WIND MANOR
NPI: 1407997380
· PITTSBURG, TX 75686
· Assisted Living Facility
· NPI assigned 02/12/2007
$298K
Total Medicaid Paid
Provider Details
| Authorized Official | DYER, MELISSA (ADMINISTRATOR) |
| NPI Enumeration Date | 02/12/2007 |
Related Entities
Other providers sharing the same authorized official: DYER, MELISSA
| Provider | City | State | Total Paid |
|---|
| AUTUMN WIND |
MINEOLA |
TX |
$1.17M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
25 |
$34K |
| 2021 |
591 |
$173K |
| 2022 |
156 |
$91K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
772 |
228 |
$298K |