NPI: 1275992059 · EAST PRAIRIE, MO 63845 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 02/22/2016
| Authorized Official | EPPLE, GUS (CEO) |
| NPI Enumeration Date | 02/22/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,362 | $427K |
| 2019 | 1,875 | $292K |
| 2020 | 508 | $83K |
| 2021 | 259 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2021 | Day habilitation, waiver; per 15 minutes | 5,004 | 348 | $844K |