VINE GATE LLC
NPI: 1518473230
· MILLBURN, NJ 07041
· Case Management Agency
· NPI assigned 12/18/2017
$353K
Total Medicaid Paid
Provider Details
| Authorized Official | AJIBOYE, FUNKE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/18/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$6K |
| 2019 |
244 |
$58K |
| 2020 |
265 |
$62K |
| 2021 |
242 |
$62K |
| 2022 |
242 |
$86K |
| 2023 |
213 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2024 |
Service assessment/plan of care development, waiver |
1,234 |
1,231 |
$353K |