NPI: 1093945511 · PADUCAH, KY 42001 · Nursing Facility/Intermediate Care Facility · NPI assigned 07/17/2009
| Authorized Official | CRUZ, SERGIO (CFO) |
| NPI Enumeration Date | 07/17/2009 |
Other providers sharing the same authorized official: CRUZ, SERGIO
| Provider | City | State | Total Paid |
|---|---|---|---|
| 75 LINDALL STREET OPCO LLC | DANVERS | MA | $7.28M |
| 8530 TOWNSHIP LINE ROAD OPCO LLC | INDIANAPOLIS | IN | $2.25M |
| 9 VILLAGE INN ROAD OPCO LLC | WESTMINSTER | MA | $1.26M |
| 5034 ATLANTIC AVENUE OPCO, LLC | MAYS LANDING | NJ | $1.00M |
| MENTOR ABI | FAIRVIEW | PA | $301K |
| CENTER FOR COMPREHENSIVE SERVICES, INC. | LAS VEGAS | NV | $190K |
| MENTOR ABI, LLC | LAWRENCE | KS | $161K |
| 235 W LANCASTER AVENUE OPCO, LLC | MONROEVILLE | PA | $65K |
| CENTER FOR COMPREHENSIVE SERVICES, INC. | FLORENCE | KY | $37K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 47,544 | $6.76M |
| 2019 | 49,959 | $6.76M |
| 2020 | 57,041 | $7.25M |
| 2021 | 42,378 | $7.29M |
| 2022 | 41,800 | $7.74M |
| 2023 | 36,996 | $7.30M |
| 2024 | 21,767 | $4.60M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 97,721 | 3,276 | $22.45M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 47,600 | 3,888 | $7.60M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 41,484 | 3,891 | $6.68M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 35,876 | 3,592 | $4.98M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 41,766 | 3,933 | $4.20M |
| 97537 | 19,707 | 1,412 | $767K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 5,518 | 703 | $587K |
| T2021 | Day habilitation, waiver; per 15 minutes | 7,813 | 610 | $437K |