BROOKSIDE MANOR RESIDENTIAL CARE, LLC
NPI: 1275713638
· FARMINGTON, MO 63640
· Assisted Living Facility
· NPI assigned 11/13/2007
$991K
Total Medicaid Paid
Provider Details
| Authorized Official | DULWORTH, STARLA (ADMINISTRATOR/OWNER) |
| NPI Enumeration Date | 11/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
145 |
$59K |
| 2019 |
161 |
$76K |
| 2020 |
314 |
$120K |
| 2021 |
326 |
$130K |
| 2022 |
471 |
$196K |
| 2023 |
467 |
$195K |
| 2024 |
410 |
$215K |
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) |
1,980 |
1,021 |
$945K |
| T1001 |
Nursing assessment / evaluation |
314 |
292 |
$46K |