CARE DIVINE OF GUARDIAN ANGEL, LLC
NPI: 1558766329
· EL PASO, TX 79936
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 10/23/2014
$11.72M
Total Medicaid Paid
Provider Details
| Authorized Official | IKE, MARGARET (PRESIDENT/CEO) |
| NPI Enumeration Date | 10/23/2014 |
Related Entities
Other providers sharing the same authorized official: IKE, MARGARET
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13,838 |
$-2421.65 |
| 2020 |
35 |
$748.65 |
| 2021 |
15,513 |
$1.20M |
| 2022 |
25,085 |
$2.97M |
| 2023 |
31,866 |
$3.72M |
| 2024 |
34,374 |
$3.83M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
40,698 |
2,111 |
$7.90M |
| H2014 |
Skills training and development, per 15 minutes |
23,013 |
1,068 |
$1.07M |
| M0152 |
|
14,930 |
409 |
$984K |
| T2020 |
Day habilitation, waiver; per diem |
10,515 |
577 |
$445K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
5,804 |
629 |
$433K |
| M0150 |
|
6,984 |
166 |
$329K |
| M0118 |
|
6,577 |
282 |
$230K |
| M0116 |
|
5,767 |
260 |
$176K |
| T1002 |
Rn services, up to 15 minutes |
3,311 |
1,072 |
$77K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
321 |
105 |
$20K |
| M0299 |
|
637 |
379 |
$20K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,033 |
417 |
$13K |
| M0298 |
|
1,089 |
438 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
17 |
16 |
$6K |
| M0315 |
|
15 |
14 |
$289.81 |