STARKVILLE PEDIATRIC EXTENDED CARE LLC
NPI: 1780293787
· STARKVILLE, MS 39759
· Medically Fragile Infants and Children Day Care
· NPI assigned 07/26/2020
$2.83M
Total Medicaid Paid
Provider Details
| Authorized Official | HAMMOND, MARK (OWNER) |
| NPI Enumeration Date | 07/26/2020 |
Related Entities
Other providers sharing the same authorized official: HAMMOND, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,318 |
$411K |
| 2022 |
3,537 |
$741K |
| 2023 |
4,540 |
$888K |
| 2024 |
3,948 |
$789K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
8,887 |
789 |
$2.50M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
1,026 |
290 |
$189K |
| T2002 |
Non-emergency transportation; per diem |
3,430 |
309 |
$145K |