EXCLUSIVE CERTIFIED RESIDENTIAL CARE, LLC
NPI: 1629528716
· KINGMAN, AZ 86409
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 10/12/2016
$633K
Total Medicaid Paid
Provider Details
| Authorized Official | ROYCE, MAYA (OWNER) |
| NPI Enumeration Date | 10/12/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
85 |
$112K |
| 2022 |
143 |
$240K |
| 2023 |
107 |
$193K |
| 2024 |
61 |
$87K |
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 |
396 |
137 |
$633K |