NPI: 1326702549 · GLENNS FERRY, ID 83623 · Assisted Living Facility · NPI assigned 10/25/2021
| Authorized Official | GAVER, MATTHEW (OWNER) |
| NPI Enumeration Date | 10/25/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 174 | $66K |
| 2021 | 155 | $94K |
| 2022 | 12 | $24K |
| 2023 | 124 | $315K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 136 | 110 | $339K |
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 223 | 167 | $144K |
| S5130 | Homemaker service, nos; per 15 minutes | 106 | 72 | $16K |