MOM'S RETREAT BOARD & CARE HOME , LLC
NPI: 1881369742
· FULLERTON, CA 92833
· 310400000X
$3.68M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
469 |
$518K |
| 2023 |
1,894 |
$1.59M |
| 2024 |
2,011 |
$1.57M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Res, nos waiver per diem |
3,354 |
758 |
$3.61M |
| H2038 |
Skill train and dev/diem |
846 |
291 |
$57K |
| T2020 |
Day habil waiver per diem |
174 |
104 |
$12K |