BRANCHING OUT SUPPORTED SERVICES LLC
NPI: 1942785464
· FAIRBANKS, AK 99701
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 10/01/2018
$1.60M
Total Medicaid Paid
Provider Details
| Authorized Official | WRIGHTSMAN, GLENN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/01/2018 |
Related Entities
Other providers sharing the same authorized official: WRIGHTSMAN, GLENN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
326 |
$30K |
| 2022 |
2,156 |
$226K |
| 2023 |
2,269 |
$318K |
| 2024 |
4,488 |
$1.03M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2021 |
Day habilitation, waiver; per 15 minutes |
7,685 |
690 |
$1.05M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
1,554 |
91 |
$556K |