STONEBROOK COMMUNITY SERVICES LLC
NPI: 1063015618
· MARTINSBURG, WV 25404
· Developmentally Disabled Services Day Training Agency
· NPI assigned 11/17/2020
$11.08M
Total Medicaid Paid
Provider Details
| Authorized Official | PRUETT, DAVID (CFO) |
| NPI Enumeration Date | 11/17/2020 |
Related Entities
Other providers sharing the same authorized official: PRUETT, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,843 |
$3.13M |
| 2022 |
2,815 |
$3.29M |
| 2023 |
2,753 |
$2.98M |
| 2024 |
2,032 |
$1.67M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
4,704 |
1,409 |
$10.23M |
| T1002 |
Rn services, up to 15 minutes |
1,410 |
1,401 |
$327K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,390 |
1,384 |
$281K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,414 |
1,404 |
$149K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,386 |
1,382 |
$76K |
| T2024 |
Service assessment/plan of care development, waiver |
139 |
75 |
$9K |