INDEPENDENT LIVING CENTER OF SOUTHEAST MISSOURI
NPI: 1295867521
· POPLAR BLUFF, MO 63901
· Case Management Agency
· NPI assigned 03/12/2007
$347K
Total Medicaid Paid
Provider Details
| Authorized Official | BROWN, JENNIFER (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/12/2007 |
Related Entities
Other providers sharing the same authorized official: BROWN, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,049 |
$77K |
| 2019 |
3,737 |
$143K |
| 2020 |
2,862 |
$113K |
| 2021 |
382 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
9,030 |
469 |
$347K |