Residential
Reaching Maximum Independence
Reaching Maximum Independence was paid $1.22M by Medicaid between Dec 2020 and Jul 2022, across 11 billing codes. Its largest line is M0123, — 40% of everything it billed.
33Billing provider infoREACHING MAXIMUM INDEPENDENCE
SAN ANTONIO, TX 78239
SAN ANTONIO, TX 78239
33aNPI1548315351assigned 01/24/2007
33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
28Total paid$1.22M
24GClaims20,126
24DCodes billed11
24AFirst – last monthDec 2020 – Jul 2022
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Texas
Rank by total paid#102 of 115
Median peer was paid$5.61M
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 38 | $289.39 | |
| 2021 | 13,703 | $817K | |
| 2022 | 6,385 | $400K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| M0123 | 40% | 6,407 | 259 | $488K | |
| M0122 | 37% | 6,132 | 245 | $445K | |
| M0116 | 8.9% | 3,445 | 210 | $109K | |
| M0298 | 6.6% | 1,164 | 485 | $80K | |
| M0115 | 5.1% | 2,213 | 168 | $62K | |
| M0101 | 1.1% | 280 | 217 | $13K | |
| M0133 | <1% | 164 | 124 | $9K | |
| M0113 | <1% | 13 | 13 | $8K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | <1% | 63 | 39 | $3K |
| M0248 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | <1% | 232 | 201 | $946.51 |
| M0315 | <1% | 13 | 13 | $567.18 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKELLY, PAMELA (EXECUTIVE DIRECTOR)