SPECIAL GRACES LLC
NPI: 1710323753
· MANVEL, TX 77578
· Community/Behavioral Health Agency
· NPI assigned 05/16/2013
$6.57M
Total Medicaid Paid
Provider Details
| Authorized Official | MARINO, LISA (OWNER) |
| NPI Enumeration Date | 05/16/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
417 |
$24K |
| 2022 |
3,781 |
$1.61M |
| 2023 |
13,033 |
$2.31M |
| 2024 |
24,490 |
$2.63M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
21,118 |
1,305 |
$5.45M |
| H2014 |
Skills training and development, per 15 minutes |
16,533 |
661 |
$752K |
| T2020 |
Day habilitation, waiver; per diem |
2,262 |
286 |
$304K |
| T1002 |
Rn services, up to 15 minutes |
1,162 |
587 |
$23K |
| M0299 |
|
591 |
304 |
$16K |
| M0113 |
|
22 |
13 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$8K |
| M0315 |
|
20 |
13 |
$868.64 |