Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1548315351assigned 01/24/2007
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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
202038$289.39
202113,703$817K
20226,385$400K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)