HIDDEN OAKS ALF, INC
NPI: 1376896555
· JENNINGS, FL 32053
· Assisted Living Facility
· NPI assigned 10/24/2012
$285K
Total Medicaid Paid
Provider Details
| Authorized Official | LAW, WANDA (OWNER/ADMINISTRATOR) |
| Parent Organization | HIDDEN OAKS ALF, INC |
| NPI Enumeration Date | 10/24/2012 |
Related Entities
Other providers sharing the same authorized official: LAW, WANDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
75 |
$25K |
| 2020 |
302 |
$120K |
| 2021 |
288 |
$112K |
| 2022 |
132 |
$19K |
| 2024 |
25 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
293 |
292 |
$140K |
| T1020 |
Personal care services, per diem, 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) |
429 |
384 |
$136K |
| H0031 |
Mental health assessment, by non-physician |
76 |
27 |
$8K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
24 |
24 |
$2K |