NPI: 1033785654 · BENTONVILLE, AR 72712 · Assisted Living Facility · NPI assigned 06/03/2021
| Authorized Official | PONTHIE, JOHN (MEMBER) |
| NPI Enumeration Date | 06/03/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 205 | $135K |
| 2022 | 294 | $329K |
| 2023 | 49 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 548 | 335 | $521K |