AZ COMFORT HOME LLC
NPI: 1548785884
· BUCKEYE, AZ 85326
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 08/08/2017
$285K
Total Medicaid Paid
Provider Details
| Authorized Official | OMIJIE, JOHN (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 08/08/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
31 |
$55K |
| 2020 |
125 |
$230K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
156 |
80 |
$285K |