PARK GROVE LLC
NPI: 1477060341
· GILBERT, AZ 85296
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 01/02/2018
$433K
Total Medicaid Paid
Provider Details
| Authorized Official | NAEUM, REEM (OWNER) |
| NPI Enumeration Date | 01/02/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
102 |
$124K |
| 2019 |
91 |
$118K |
| 2020 |
113 |
$190K |
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 |
306 |
108 |
$433K |