KIDDIEKLUBHOUSE,LLC
NPI: 1083363915
· MUNCIE, IN 47304
· Child Mental Illness Respite Care
· NPI assigned 03/18/2022
$138K
Total Medicaid Paid
Provider Details
| Authorized Official | CARMAN, AMY (MANAGER) |
| NPI Enumeration Date | 03/18/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
204 |
$48K |
| 2023 |
509 |
$90K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1005 |
Respite care services, up to 15 minutes |
509 |
97 |
$90K |
| S5151 |
Unskilled respite care, not hospice; per diem |
204 |
39 |
$48K |