THRIVE ADVANCED CARE LLC
NPI: 1447903893
· WYLIE, TX 75098
· Speech-Language Assistant
· NPI assigned 01/26/2022
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | SIMO FOSSOUO, CORTNEY (BOARD CERTIFIED BEHAVIOR ANAYLST) |
| NPI Enumeration Date | 01/26/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
291 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
291 |
24 |
$100K |