NPI: 1609382910 · ALBUQUERQUE, NM 87111 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 12/21/2017
| Authorized Official | BOBO, JACQUELINE (MEMBER) |
| NPI Enumeration Date | 12/21/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 133 | $290K |
| 2019 | 1,169 | $525K |
| 2020 | 5,404 | $2.44M |
| 2021 | 6,716 | $3.54M |
| 2022 | 7,921 | $5.06M |
| 2023 | 9,399 | $6.52M |
| 2024 | 6,631 | $3.82M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 31,452 | 1,074 | $12.35M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 1,154 | 1,054 | $4.72M |
| H2021 | Community-based wrap-around services, per 15 minutes | 2,203 | 1,028 | $3.18M |
| T2021 | Day habilitation, waiver; per 15 minutes | 1,904 | 893 | $1.85M |
| T1003 | Lpn/lvn services, up to 15 minutes | 509 | 451 | $68K |
| T1002 | Rn services, up to 15 minutes | 151 | 140 | $26K |