ELLENDEL ISL LLC
NPI: 1235252826
· KIRKSVILLE, MO 63501
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 04/09/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.
$6.24M
Total Medicaid Paid
1,167
Beneficiary Records
Provider Details
| Authorized Official | TOMICH, RHODA (OWNER/MANAGER) |
| NPI Enumeration Date | 04/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,467 |
$1.45M |
| 2019 |
5,433 |
$1.45M |
| 2020 |
5,040 |
$1.52M |
| 2021 |
4,926 |
$1.57M |
| 2022 |
725 |
$251K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
20,415 |
663 |
$6.21M |
| T1002 |
Rn services, up to 15 minutes |
1,164 |
492 |
$22K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
12 |
12 |
$610.47 |