LARLEE HOLDINGS, INC · NPI 1639760291

NPI: 1639760291 · COTTONWOOD HEIGHTS, UT 84121 · In Home Supportive Care Agency · NPI assigned 01/27/2021

$10K

Total Medicaid Paid

206

Total Claims

Beneficiaries

Codes Billed

2023-12

First Month

2023-12

Last Month

Provider Details

Authorized Official	LARSEN, DEVIN (OWNER/DON)
NPI Enumeration Date	01/27/2021

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Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2023	206	$10K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
T1021	Home health aide or certified nurse assistant, per visit	206	12	$10K