NPI: 1184712713 · GREEN BAY, WI 54311 · Home Health Agency · NPI assigned 10/10/2006
| Authorized Official | MISOVEC, DENISE (VP PROGRAMS) |
| NPI Enumeration Date | 10/10/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13,020 | $751K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5102 | Day care services, adult; per diem | 3,629 | 375 | $214K |
| T2021 | Day habilitation, waiver; per 15 minutes | 2,462 | 243 | $197K |
| T2003 | Non-emergency transportation; encounter/trip | 4,430 | 399 | $186K |
| T2015 | Habilitation, prevocational, waiver; per hour | 673 | 112 | $57K |
| T2013 | Habilitation, educational, waiver; per hour | 722 | 145 | $51K |
| S5130 | Homemaker service, nos; per 15 minutes | 975 | 82 | $36K |
| S5100 | Day care services, adult; per 15 minutes | 129 | 12 | $10K |