LAKESIDE TERRACE
NPI: 1124095534
· SABETHA, KS 66534
· Intellectual Disabilities Intermediate Care Facility
· NPI assigned 03/03/2006
$219K
Total Medicaid Paid
Provider Details
| Authorized Official | STRAHM, ED (ADMINISTRATOR) |
| NPI Enumeration Date | 03/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
97 |
$14K |
| 2020 |
201 |
$22K |
| 2021 |
225 |
$25K |
| 2022 |
43 |
$6K |
| 2023 |
236 |
$58K |
| 2024 |
343 |
$95K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
1,145 |
1,105 |
$219K |