DIVINE HEALTHCARE SERVICES LLC
NPI: 1891449674
· WOODBRIDGE, VA 22193
· 364SH0200X
$418K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
3,551 |
$418K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
3,387 |
205 |
$397K |
| T1005 |
Respite care service 15 min |
164 |
32 |
$21K |