NPI: 1205967809 · PILOT KNOB, MO 63663 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 03/08/2007
| Authorized Official | ROBERTS, LINDA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/08/2007 |
Other providers sharing the same authorized official: ROBERTS, LINDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| PIXLEY MEDICAL CLINIC | PIXLEY | CA | $16.02M |
| TIPTON MEDICAL CLINIC | TIPTON | CA | $12.20M |
| ROBERTS DME LLC | OWENSBORO | KY | $392K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,688 | $1.02M |
| 2019 | 6,474 | $1.27M |
| 2020 | 680 | $63K |
| 2021 | 1,952 | $208K |
| 2022 | 2,861 | $694K |
| 2023 | 6,818 | $2.51M |
| 2024 | 6,819 | $2.72M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 18,616 | 626 | $7.10M |
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 9,298 | 1,053 | $999K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 1,113 | 1,049 | $294K |
| T2001 | Non-emergency transportation; patient attendant/escort | 416 | 411 | $60K |
| T1002 | Rn services, up to 15 minutes | 849 | 553 | $38K |