NPI: 1275001448 · ESCANABA, MI 49829 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 11/06/2018
| Authorized Official | BEAUCHAMP, JESSICA (ADMINISTRATOR) |
| NPI Enumeration Date | 11/06/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 150 | $121K |
| 2019 | 544 | $506K |
| 2020 | 496 | $594K |
| 2021 | 412 | $609K |
| 2022 | 396 | $753K |
| 2023 | 622 | $963K |
| 2024 | 790 | $1.14M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2016 | Comprehensive community support services, per diem | 1,705 | 1,089 | $3.04M |
| T1020 | Personal care services, per diem, 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) | 1,705 | 1,089 | $1.65M |