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BRIDGEWAY RESIDENTIAL CARE FACILITY, LLC
BRIDGEWAY RESIDENTIAL CARE FACILITY, LLC
NPI: 1497344147
· FULTON, MO 65251
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 01/15/2021
$481K
Total Medicaid Paid
Provider Details
| Authorized Official | RUDROFF, SUE (RN/OWNER) |
| NPI Enumeration Date | 01/15/2021 |
Related Entities
Other providers sharing the same authorized official: RUDROFF, SUE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
380 |
$78K |
| 2019 |
268 |
$66K |
| 2020 |
210 |
$59K |
| 2022 |
388 |
$182K |
| 2023 |
71 |
$36K |
| 2024 |
193 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 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) |
1,510 |
1,137 |
$481K |