NPI: 1437201910 · FORT WORTH, TX 76140 · Exclusive Provider Organization · NPI assigned 01/17/2007
| Authorized Official | FORNS, DONNA (OWNER) |
| NPI Enumeration Date | 01/17/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 9,702 | $797K |
| 2022 | 20,125 | $1.57M |
| 2023 | 14,071 | $1.71M |
| 2024 | 7,069 | $1.69M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 23,019 | 1,590 | $3.96M |
| M0125 | 6,407 | 258 | $603K | |
| M0123 | 7,369 | 295 | $561K | |
| H2014 | Skills training and development, per 15 minutes | 7,993 | 552 | $351K |
| T2020 | Day habilitation, waiver; per diem | 3,218 | 224 | $125K |
| T2016 | Habilitation, residential, waiver; per diem | 810 | 72 | $97K |
| T1002 | Rn services, up to 15 minutes | 1,474 | 1,106 | $54K |
| M0299 | 677 | 522 | $24K |