NPI: 1316090707 · PLAINS, MT 59859 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 01/19/2007
| Authorized Official | DOSSETT, CAROL (PROGRAM MANAGER) |
| NPI Enumeration Date | 01/19/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 750 | $1.25M |
| 2020 | 1,617 | $2.21M |
| 2021 | 1,799 | $1.66M |
| 2022 | 1,945 | $2.36M |
| 2023 | 1,252 | $2.51M |
| 2024 | 606 | $2.34M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2021 | Day habilitation, waiver; per 15 minutes | 2,191 | 1,917 | $4.55M |
| T2013 | Habilitation, educational, waiver; per hour | 798 | 762 | $3.98M |
| T2017 | Habilitation, residential, waiver; 15 minutes | 581 | 534 | $3.55M |
| T2002 | Non-emergency transportation; per diem | 1,400 | 1,363 | $165K |
| T2003 | Non-emergency transportation; encounter/trip | 2,448 | 1,491 | $76K |
| T2028 | Specialized supply, not otherwise specified, waiver | 551 | 533 | $15K |