Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › SHEBOYGAN › VISTA CARE SOUTH DAKOTA, LLC

VISTA CARE SOUTH DAKOTA, LLC

NPI: 1124586037 · SHEBOYGAN, WI 53081 · In Home Supportive Care Agency · NPI assigned 03/10/2019

$20.01M
Total Medicaid Paid
16,358
Total Claims
13,603
Beneficiaries
8
Codes Billed
2019-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFREY, TIMOTHY (PRESIDENT)
NPI Enumeration Date03/10/2019

Related Entities

Other providers sharing the same authorized official: FREY, TIMOTHY

ProviderCityStateTotal Paid
VISTA CARE COLORADO, LLC SHEBOYGAN WI $3.21M
VISTA CARE WISCONSIN INC. SHEBOYGAN WI $767K
FREY CLINIC OF CHIROPRACTIC INC NAPOLEON OH $61K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,709 $1.35M
2020 2,255 $1.73M
2021 3,806 $4.12M
2022 3,292 $4.07M
2023 3,037 $3.36M
2024 2,259 $5.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 3,766 3,227 $14.74M
T2020 Day habilitation, waiver; per diem 5,098 3,470 $3.31M
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 3,030 2,859 $1.21M
T2018 Habilitation, supported employment, waiver; per diem 1,538 1,427 $383K
T2019 Habilitation, supported employment, waiver; per 15 minutes 558 382 $166K
T2025 Waiver services; not otherwise specified (nos) 1,654 1,559 $127K
T2014 Habilitation, prevocational, waiver; per diem 311 304 $47K
T2028 Specialized supply, not otherwise specified, waiver 403 375 $25K