PACIFICA HEALTH SERVICES LLC
NPI: 1326071002
· CARLISLE, IA 50047
· Nursing Facility/Intermediate Care Facility
· NPI assigned 07/08/2006
$224K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
874 |
$156K |
| 2019 |
443 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5170 |
Home delivered meals, including preparation; per meal |
754 |
319 |
$132K |
| T2031 |
Assisted living; waiver, per diem |
95 |
74 |
$53K |
| S5125 |
Attendant care services; per 15 minutes |
361 |
317 |
$37K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
107 |
86 |
$3K |