APPLE VALLEY ASSISTED LIVING LLC.
NPI: 1508085879
· CLEAR LAKE, IA 50428
· Point of Service
· NPI assigned 04/25/2007
$1.64M
Total Medicaid Paid
Provider Details
| Authorized Official | COSSELMAN, TERRI (ADMINISTRATOR) |
| NPI Enumeration Date | 04/25/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,241 |
$251K |
| 2019 |
1,260 |
$299K |
| 2020 |
1,270 |
$305K |
| 2021 |
1,190 |
$316K |
| 2022 |
1,204 |
$330K |
| 2023 |
709 |
$134K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
1,488 |
1,335 |
$877K |
| S5170 |
Home delivered meals, including preparation; per meal |
2,763 |
1,335 |
$508K |
| S5125 |
Attendant care services; per 15 minutes |
1,316 |
1,254 |
$205K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
1,307 |
1,265 |
$45K |