NPI: 1104973163 · SIOUX CITY, IA 51105 · 251C00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,584 | $618K |
| 2019 | 1,321 | $799K |
| 2020 | 732 | $387K |
| 2021 | 1,328 | $748K |
| 2022 | 1,493 | $896K |
| 2023 | 1,615 | $1.00M |
| 2024 | 1,495 | $906K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2020 | Day habil waiver per diem | 5,006 | 3,539 | $4.11M |
| H2025 | Supp maint employ, 15 min | 1,767 | 1,698 | $811K |
| T2021 | Day habil waiver per 15 min | 2,480 | 1,623 | $412K |
| T2015 | Habil prevoc waiver per hr | 290 | 37 | $18K |
| T2018 | Habil sup empl waiver/diem | 13 | 13 | $2K |
| T2003 | N-et; encounter/trip | 12 | 12 | $1K |