INNOVATIVE SUPPORT SERVICES, LLC
NPI: 1790964625
· CHARLOTTE, NC 28269
· Developmentally Disabled Services Day Training Agency
· NPI assigned 10/28/2007
$288K
Total Medicaid Paid
Provider Details
| Authorized Official | JACKSON, ADRIANE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
324 |
$49K |
| 2019 |
315 |
$47K |
| 2020 |
359 |
$53K |
| 2021 |
345 |
$53K |
| 2022 |
343 |
$51K |
| 2023 |
240 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
1,926 |
1,829 |
$288K |