MISSION ROAD DEVELOPMENTAL CENTER
NPI: 1538532429
· SAN ANTONIO, TX 78214
· Assisted Living Facility
· NPI assigned 11/02/2015
$6.66M
Total Medicaid Paid
Provider Details
| Authorized Official | BUTLER, LORA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/02/2015 |
Related Entities
Other providers sharing the same authorized official: BUTLER, LORA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,061 |
$1.09M |
| 2019 |
1,007 |
$1.08M |
| 2020 |
1,016 |
$1.20M |
| 2021 |
934 |
$1.03M |
| 2022 |
702 |
$1000K |
| 2023 |
595 |
$647K |
| 2024 |
1,019 |
$617K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
2,658 |
1,707 |
$6.38M |
| T1002 |
Rn services, up to 15 minutes |
2,030 |
1,583 |
$117K |
| T1016 |
Case management, each 15 minutes |
1,376 |
1,376 |
$92K |
| T2022 |
Case management, per month |
270 |
270 |
$68K |