NPI: 1053495648 · HOLLY, MI 48442 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 10/24/2006
93% of spending on code H2016 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | KUBICEK, JAMES (PRESIDENT) |
| NPI Enumeration Date | 10/24/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,545 | $668K |
| 2019 | 3,008 | $760K |
| 2020 | 599 | $517K |
| 2021 | 13 | $54K |
| 2022 | 1,480 | $328K |
| 2023 | 468 | $866K |
| 2024 | 198 | $717K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 6,661 | 782 | $3.64M |
| T1020 | Personal care services, per diem, 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) | 2,650 | 165 | $273K |