C3 ACADEMY, LLC
NPI: 1922282946
· GRAND PRAIRIE, TX 75050
· Custodial Care Facility
· NPI assigned 12/27/2007
$1.27M
Total Medicaid Paid
Provider Details
| Authorized Official | EVANS, TRISHA (ADMINISTRATO) |
| NPI Enumeration Date | 12/27/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
382 |
$7K |
| 2022 |
3,331 |
$1.01M |
| 2023 |
748 |
$261K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
762 |
193 |
$984K |
| T2020 |
Day habilitation, waiver; per diem |
1,334 |
177 |
$223K |
| M0299 |
|
1,187 |
94 |
$23K |
| T1002 |
Rn services, up to 15 minutes |
903 |
75 |
$23K |
| H2014 |
Skills training and development, per 15 minutes |
275 |
15 |
$21K |