PRESIDENTIAL MANSIONCARE, LLC
NPI: 1437532991
· GOODYEAR, AZ 85338
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 07/02/2015
$626K
Total Medicaid Paid
Provider Details
| Authorized Official | AMUGHAN, KENNEDY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/02/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
17 |
$33K |
| 2020 |
23 |
$40K |
| 2021 |
41 |
$110K |
| 2022 |
81 |
$249K |
| 2023 |
83 |
$193K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
245 |
150 |
$626K |