N & R OF KIMBERLING CITY LLC

NPI: 1174827166 · KIMBERLING CITY, MO 65686 · Skilled Nursing Facility · NPI assigned 01/05/2011

$12K

Total Medicaid Paid

1,837

Total Claims

249

Beneficiaries

Codes Billed

2019-07

First Month

2020-06

Last Month

Provider Details

Authorized Official	LINCOLN, JAMES (MEMBER)
NPI Enumeration Date	01/05/2011

Other providers sharing the same authorized official: LINCOLN, JAMES

Provider	City	State	Total Paid
PREFERRED HOSPICE OF MISSOURI SOUTHWEST LLC	OZARK	MO	$12.93M
PREFERRED HOSPICE OF MISSOURI LLC	DEXTER	MO	$2.81M
PREFERRED HOSPICE OF MISSOURI CENTRAL LLC	COLUMBIA	MO	$158K
PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC	BALLWIN	MO	$104K
MED SUPPLY INC	OSAGE BEACH	MO	$27K
WASHINGTON N & R, LLC	WASHINGTON	MO	$6K
N & R OF PLATTE CITY, INC.	PLATTE CITY	MO	$202.54
CURRENT RIVER NURSING CENTER, INC.	DONIPHAN	MO	$74.62
EXCELSIOR SPRINGS NURSING AND REHAB LLC	EXCELSIOR SPRINGS	MO	$47.97

Year	Claims	Total Paid
2019	813	$5K
2020	1,024	$7K

Code	Description	Claims	Beneficiaries	Total Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	642	70	$6K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	733	66	$4K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	171	39	$1K
97116		175	27	$795.34
97535	Self-care/home management training, each 15 minutes	51	12	$502.66
Q3014	Telehealth originating site facility fee	65	35	$175.89