STATE OF NEVADA
NPI: 1487832085
· GARDNERVILLE, NV 89410
· Case Management Agency
· NPI assigned 02/06/2008
$154K
Total Medicaid Paid
Provider Details
| Authorized Official | MCMILLIN, SIRI (BILLING SUPERVISOR) |
| NPI Enumeration Date | 02/06/2008 |
Related Entities
Other providers sharing the same authorized official: MCMILLIN, SIRI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
369 |
$69K |
| 2020 |
375 |
$47K |
| 2021 |
286 |
$37K |
| 2022 |
19 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1017 |
Targeted case management, each 15 minutes |
1,049 |
294 |
$154K |