UNMERITED FAVOR SPECIAL CARE LLC
NPI: 1730765066
· SAN TAN VLY, AZ 85143
· Community/Behavioral Health Agency
· NPI assigned 03/18/2021
$996K
Total Medicaid Paid
Provider Details
| Authorized Official | EGHAN, EDMUND (MEMBER/OWNER) |
| NPI Enumeration Date | 03/18/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
389 |
$996K |
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 |
389 |
162 |
$996K |