AMERITUS IOWA CEDARVALE WHISPERING WILLOWS LLC
NPI: 1033828645
· FREDERICKSBURG, IA 50630
· Assisted Living Facility
· NPI assigned 11/22/2022
$477K
Total Medicaid Paid
Provider Details
| Authorized Official | DICKSON, MARK (OWNER) |
| NPI Enumeration Date | 11/22/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
375 |
$113K |
| 2024 |
1,008 |
$364K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
275 |
253 |
$183K |
| S5125 |
Attendant care services; per 15 minutes |
282 |
253 |
$172K |
| S5170 |
Home delivered meals, including preparation; per meal |
552 |
252 |
$112K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
274 |
251 |
$10K |