FAMOND CARE NETWORK LLC
NPI: 1639748239
· FLORENCE, AZ 85132
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 06/18/2021
$822K
Total Medicaid Paid
Provider Details
| Authorized Official | MOSIMA, EDMOND (ADMINISTRATOR) |
| NPI Enumeration Date | 06/18/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
136 |
$762K |
| 2023 |
18 |
$60K |
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 |
154 |
103 |
$822K |