MISSION ROAD DEVELOPMENTAL CENTER
NPI: 1629148846
· SAN ANTONIO, TX 78214
· Developmentally Disabled Services Day Training Agency
· NPI assigned 11/08/2006
$148K
Total Medicaid Paid
Provider Details
| Authorized Official | BUTLER, LORA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/08/2006 |
Related Entities
Other providers sharing the same authorized official: BUTLER, LORA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
158 |
$68K |
| 2019 |
153 |
$65K |
| 2020 |
46 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5101 |
Day care services, adult; per half day |
357 |
357 |
$148K |