SABINE VALLEY REGIONAL MHMR CENTER
NPI: 1467676544
· LONGVIEW, TX 75601
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 04/12/2007
$3.01M
Total Medicaid Paid
Provider Details
| Authorized Official | VILLARREAL, ROSEMARY (PROVIDER ENROLLMENT/CREDENTIALING) |
| NPI Enumeration Date | 04/12/2007 |
Related Entities
Other providers sharing the same authorized official: VILLARREAL, ROSEMARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
9,631 |
$703K |
| 2022 |
4,603 |
$848K |
| 2023 |
1,547 |
$786K |
| 2024 |
1,091 |
$677K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
898 |
856 |
$1.96M |
| M0123 |
|
8,048 |
266 |
$613K |
| M0122 |
|
4,741 |
159 |
$344K |
| H2014 |
Skills training and development, per 15 minutes |
1,518 |
99 |
$47K |
| T2020 |
Day habilitation, waiver; per diem |
506 |
51 |
$23K |
| T1002 |
Rn services, up to 15 minutes |
672 |
486 |
$13K |
| M0299 |
|
477 |
319 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$3K |