STATE OF NEVADA
NPI: 1881833077
· HAWTHORNE, NV 89415
· Case Management Agency
· NPI assigned 02/11/2009
$137K
Total Medicaid Paid
Provider Details
| Authorized Official | MCMILLIN, SIRI (BILLING SUPERVISOR) |
| NPI Enumeration Date | 02/11/2009 |
Related Entities
Other providers sharing the same authorized official: MCMILLIN, SIRI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
348 |
$36K |
| 2019 |
357 |
$49K |
| 2020 |
208 |
$35K |
| 2022 |
66 |
$12K |
| 2023 |
31 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1017 |
Targeted case management, each 15 minutes |
1,010 |
421 |
$137K |