NPI: 1932847340 · GASTONIA, NC 28054 · Case Management Agency · NPI assigned 05/25/2022
| Authorized Official | MARTIN, JONATHAN (OWNER) |
| NPI Enumeration Date | 05/25/2022 |
Other providers sharing the same authorized official: MARTIN, JONATHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| OCEAN STATE URGENT CARE CENTER OF BARRINGTON, LLC | BARRINGTON | RI | $96K |
| OCEAN STATE PRIMARY CARE CENTER OF WESTERLY, LLC | WESTERLY | RI | $64K |
| OCEAN STATE URGENT CARE CENTER OF WESTERLY, LLC | WESTERLY | RI | $57K |
| MARTIN AND TUCKER INVESTMENTS INC | BRYANT | AR | $51K |
| OCEAN STATE PRIMARY CARE CENTER OF COVENTRY, LLC | COVENTRY | RI | $35K |
| GREENWICH BAY MEDICAL ASSOCIATES, LLC | WARWICK | RI | $2K |
| AVROK BIOSCIENCES, LLC | AZUSA | CA | $400.32 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 410 | $73K |
| 2024 | 6,787 | $1.33M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 1,986 | 76 | $472K |
| H2015 | Comprehensive community support services, per 15 minutes | 2,064 | 116 | $355K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | 1,590 | 110 | $319K |
| T2013 | Habilitation, educational, waiver; per hour | 1,147 | 93 | $157K |
| H2023 | Supported employment, per 15 minutes | 282 | 26 | $69K |
| T2012 | Habilitation, educational; waiver, per diem | 128 | 12 | $27K |