VITRA ADULT DAY HEALTH I, LLC
NPI: 1639718596
· BROCKTON, MA 02301
· Adult Day Care Clinic/Center
$3.02M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
331 |
$29K |
| 2022 |
8,715 |
$415K |
| 2023 |
20,664 |
$1.10M |
| 2024 |
24,419 |
$1.48M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
21,265 |
1,657 |
$2.17M |
| T2003 |
Non-emergency transportation; encounter/trip |
32,828 |
1,474 |
$851K |
| S5101 |
Day care services, adult; per half day |
36 |
24 |
$2K |