SB TRANSITIONAL SUB, LLC
NPI: 1811574064
· WEST HARTFORD, CT 06110
· 261QD1600X
$561K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
97 |
$11K |
| 2022 |
2,980 |
$370K |
| 2023 |
1,444 |
$180K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
|
3,942 |
415 |
$479K |
| H0046 |
Mental health service, nos |
579 |
222 |
$83K |