STATE OF MISSOURI
NPI: 1316573074
· JEFFERSON CITY, MO 65101
· Case Manager/Care Coordinator
· NPI assigned 03/13/2020
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official BOECKMANN, MOLLY controls 20+ related entities in our dataset. Read more
$184K
Total Medicaid Paid
Provider Details
| Authorized Official | BOECKMANN, MOLLY (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Parent Organization | STATE OF MISSOURI |
| NPI Enumeration Date | 03/13/2020 |
Related Entities
Other providers sharing the same authorized official: BOECKMANN, MOLLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,093 |
$89K |
| 2019 |
440 |
$31K |
| 2020 |
510 |
$16K |
| 2021 |
380 |
$21K |
| 2022 |
471 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
2,894 |
1,566 |
$184K |