VISTA CARE SOUTH DAKOTA, LLC
NPI: 1124586037
· SHEBOYGAN, WI 53081
· 253Z00000X
$20.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
3,766 |
3,227 |
$14.74M |
| T2020 |
Day habil waiver per diem |
5,098 |
3,470 |
$3.31M |
| S0281 |
Medical home, maintenance |
3,030 |
2,859 |
$1.21M |
| T2018 |
Habil sup empl waiver/diem |
1,538 |
1,427 |
$383K |
| T2019 |
Habil sup empl waiver 15min |
558 |
382 |
$166K |
| T2025 |
Waiver service, nos |
1,654 |
1,559 |
$127K |
| T2014 |
Habil prevoc waiver, per d |
311 |
304 |
$47K |
| T2028 |
Special supply, nos waiver |
403 |
375 |
$25K |