PROVIDENCE PROFESSIONAL SERVICES, INC.
NPI: 1801123781
· GARDEN CITY, KS 67846
· Case Management Agency
· NPI assigned 11/12/2009
$573K
Total Medicaid Paid
Provider Details
| Authorized Official | FINE, SANDRA (PRESIDENT) |
| NPI Enumeration Date | 11/12/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,323 |
$125K |
| 2019 |
1,329 |
$116K |
| 2020 |
1,224 |
$108K |
| 2021 |
1,057 |
$101K |
| 2022 |
975 |
$102K |
| 2023 |
204 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
6,112 |
3,691 |
$573K |