SUPPORTIVE HOME HEALTH, INC.
NPI: 1598236010
· UPLAND, CA 91786
· Home Health Agency
· NPI assigned 12/10/2018
$610.00
Total Medicaid Paid
Provider Details
| Authorized Official | MATIAN, LIOR (CFO) |
| NPI Enumeration Date | 12/10/2018 |
Related Entities
Other providers sharing the same authorized official: MATIAN, LIOR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
461 |
$610.00 |
| 2023 |
1,295 |
$0.00 |
| 2024 |
743 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
692 |
680 |
$610.00 |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
434 |
123 |
$0.00 |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
1,329 |
450 |
$0.00 |
| S9131 |
Physical therapy; in the home, per diem |
44 |
12 |
$0.00 |