NPI: 1275687097 · DONIPHAN, MO 63935 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 01/22/2007
Authorized official PRICE, SAMUEL controls 20+ related entities in our dataset. Read more
| Authorized Official | PRICE, SAMUEL (PRESIDENT) |
| NPI Enumeration Date | 01/22/2007 |
Other providers sharing the same authorized official: PRICE, SAMUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,236 | $150K |
| 2021 | 4,168 | $549K |
| 2022 | 7,760 | $2.46M |
| 2023 | 12,353 | $4.56M |
| 2024 | 17,180 | $4.77M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 13,739 | 455 | $7.85M |
| T2021 | Day habilitation, waiver; per 15 minutes | 21,498 | 1,327 | $4.45M |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | 5,918 | 345 | $96K |
| T1002 | Rn services, up to 15 minutes | 1,542 | 154 | $93K |