MIRACLE KIDS SUCCESS ACADEMY, INC.
NPI: 1639791411
· JONESBORO, AR 72404
· Developmental Disabilities Clinic/Center
· NPI assigned 05/14/2020
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | TUCKER, SHELLY (VP OF OPERATIONS) |
| NPI Enumeration Date | 05/14/2020 |
Related Entities
Other providers sharing the same authorized official: TUCKER, SHELLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
639 |
$0.00 |
| 2021 |
346 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
93 |
56 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
892 |
256 |
$0.00 |