COUNTRY AIRE ESTATES LLC
NPI: 1326113077
· HANNIBAL, MO 63401
· 3104A0625X
$1.16M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
314 |
$93K |
| 2019 |
381 |
$105K |
| 2020 |
593 |
$199K |
| 2021 |
412 |
$181K |
| 2022 |
390 |
$233K |
| 2023 |
264 |
$212K |
| 2024 |
150 |
$136K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
2,181 |
1,102 |
$1.15M |
| T1001 |
Nursing assessment/evaluatn |
323 |
308 |
$10K |