KING MANOR ISL
NPI: 1205954328
· HARRISONVILLE, MO 64701
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 03/27/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.
$3.55M
Total Medicaid Paid
Provider Details
| Authorized Official | KILGORE, EVELYN (ADMINISTRATOR) |
| NPI Enumeration Date | 03/27/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,281 |
$949K |
| 2019 |
6,056 |
$1.06M |
| 2020 |
6,963 |
$1.25M |
| 2021 |
1,698 |
$291K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
18,730 |
636 |
$3.49M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
633 |
629 |
$29K |
| T1002 |
Rn services, up to 15 minutes |
635 |
629 |
$27K |