NPI: 1023331154 · LOGANSPORT, IN 46947 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 03/03/2010
| Authorized Official | GUNTER, NICKI (CFO) |
| NPI Enumeration Date | 03/03/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,343 | $1.64M |
| 2019 | 4,181 | $1.72M |
| 2020 | 2,997 | $1.68M |
| 2021 | 5,388 | $1.23M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 1,726 | 1,283 | $4.65M |
| T2015 | Habilitation, prevocational, waiver; per hour | 8,781 | 1,436 | $549K |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 883 | 724 | $538K |
| T2020 | Day habilitation, waiver; per diem | 3,619 | 1,257 | $338K |
| T2002 | Non-emergency transportation; per diem | 1,366 | 1,194 | $149K |
| T2022 | Case management, per month | 534 | 508 | $51K |