AUBURN CREST HOSPICE TREASURE VALLEY, LLC

NPI: 1417253873 · BOISE, ID 83713 · Community Based Hospice Care Agency · NPI assigned 02/02/2011

$9K

Total Medicaid Paid

5,615

Total Claims

1,569

Beneficiaries

Codes Billed

2018-01

First Month

2019-10

Last Month

Provider Details

Authorized Official	FLETCHER, JASON (PRESIDENT)
NPI Enumeration Date	02/02/2011

Other providers sharing the same authorized official: FLETCHER, JASON

Provider	City	State	Total Paid
LIGHTEN HOME HEALTH AND HOSPICE	DRAPER	UT	$487K
JASON FLETCHER DO A MEDICAL GROUP	LONG BEACH	CA	$49K
THE NEIGHBORHOOD CLINIC, LLC	BOISE	ID	$33K
AUBURN CREST HOSPICE, LLC	HAYDEN	ID	$1K

Year	Claims	Total Paid
2018	3,523	$509.10
2019	2,092	$8K

Code	Description	Claims	Beneficiaries	Total Paid
Q5002	Hospice or home health care provided in assisted living facility	383	310	$9K
G0300	Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes	653	248	$0.00
G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	1,494	376	$0.00
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	512	304	$0.00
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	2,573	331	$0.00