NPI: 1043609381 · BOURBON, MO 65441 · Custodial Care Facility · NPI assigned 01/09/2015
| Authorized Official | NOLTING, DAVID (MANAGER) |
| NPI Enumeration Date | 01/09/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 198 | $78K |
| 2019 | 123 | $43K |
| 2020 | 76 | $25K |
| 2021 | 117 | $45K |
| 2022 | 304 | $154K |
| 2023 | 180 | $110K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 998 | 637 | $456K |