NPI: 1043718497 · GREEN BAY, WI 54303 · In Home Supportive Care Agency · NPI assigned 01/30/2018
| Authorized Official | TIMM, AMY (OWNER SERVICE COORDINATOR) |
| NPI Enumeration Date | 01/30/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,907 | $265K |
| 2019 | 8,899 | $965K |
| 2020 | 6,673 | $760K |
| 2021 | 9,578 | $1.03M |
| 2022 | 5,759 | $732K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2021 | Community-based wrap-around services, per 15 minutes | 22,497 | 1,841 | $2.55M |
| T2017 | Habilitation, residential, waiver; 15 minutes | 9,809 | 809 | $1.02M |
| T2013 | Habilitation, educational, waiver; per hour | 460 | 47 | $144K |
| T2003 | Non-emergency transportation; encounter/trip | 23 | 23 | $30K |
| S0215 | Non-emergency transportation; mileage, per mile | 27 | 27 | $15K |