Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EXTRAORDINARY CHANGES LLC

NPI: 1841965696 · CHESAPEAKE, VA 23324 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 08/13/2021

$310K
Total Medicaid Paid
431
Total Claims
105
Beneficiaries
1
Codes Billed
2024-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOOK, DEVON (CEO)
NPI Enumeration Date08/13/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 431 $310K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 431 105 $310K