SOVEREIGNTY SUPPORT SERVICES LLC
NPI: 1700319845
· ELIZABETH, NJ 07202
· Case Management Agency
· NPI assigned 04/05/2017
$530K
Total Medicaid Paid
Provider Details
| Authorized Official | MARS, LENNOX (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/05/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
379 |
$88K |
| 2019 |
701 |
$168K |
| 2020 |
629 |
$151K |
| 2021 |
483 |
$123K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2024 |
Service assessment/plan of care development, waiver |
2,192 |
2,192 |
$530K |