Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

REACHING MAXIMUM INDEPENDENCE

NPI: 1548315351 · SAN ANTONIO, TX 78239 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 01/24/2007

$1.22M
Total Medicaid Paid
20,126
Total Claims
1,974
Beneficiaries
11
Codes Billed
2020-12
First Month
2022-07
Last Month

Provider Details

Authorized OfficialKELLY, PAMELA (EXECUTIVE DIRECTOR)
NPI Enumeration Date01/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 38 $289.39
2021 13,703 $817K
2022 6,385 $400K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
M0123 6,407 259 $488K
M0122 6,132 245 $445K
M0116 3,445 210 $109K
M0298 1,164 485 $80K
M0115 2,213 168 $62K
M0101 280 217 $13K
M0133 164 124 $9K
M0113 13 13 $8K
H2019 Therapeutic behavioral services, per 15 minutes 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 232 201 $946.51
M0315 13 13 $567.18