MOBERLY RESIDENTIAL, LLC
NPI: 1235186982
· MOBERLY, MO 65270
· Assisted Living Facility
· NPI assigned 05/28/2006
$319K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHADE, KYLE (MANAGER) |
| NPI Enumeration Date | 05/28/2006 |
Related Entities
Other providers sharing the same authorized official: SCHADE, KYLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
38 |
$24K |
| 2019 |
14 |
$10K |
| 2020 |
331 |
$168K |
| 2021 |
194 |
$101K |
| 2022 |
25 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 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) |
602 |
381 |
$319K |