NPI: 1063613495 · POCATELLO, ID 83201 · Pediatric Skilled Nursing Facility · NPI assigned 05/31/2007
| Authorized Official | SINCLAIR, PAMELA (CNA OFFICE ASSISTANT) |
| NPI Enumeration Date | 05/31/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,653 | $474K |
| 2019 | 3,815 | $409K |
| 2020 | 3,123 | $328K |
| 2021 | 3,629 | $306K |
| 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) | 9,683 | 1,544 | $1.26M |
| S5130 | Homemaker service, nos; per 15 minutes | 6,365 | 1,108 | $237K |
| S5125 | Attendant care services; per 15 minutes | 172 | 37 | $17K |