KYBAMA, INC
NPI: 1437675477
· BONNE TERRE, MO 63628
· Emotionally Disturbed Childrens' Residential Treatment Facility
· NPI assigned 08/22/2017
$972K
Total Medicaid Paid
Provider Details
| Authorized Official | SELBERT, GARY (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 08/22/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
909 |
$153K |
| 2023 |
239 |
$455K |
| 2024 |
153 |
$364K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
1,301 |
382 |
$972K |