NPI: 1508483918 · NEVADA, MO 64772 · Skilled Nursing Facility · NPI assigned 07/01/2020
| Authorized Official | DESTEFANE, RICHARD (PRESIDENT) |
| NPI Enumeration Date | 07/01/2020 |
Other providers sharing the same authorized official: DESTEFANE, RICHARD
| Provider | City | State | Total Paid |
|---|---|---|---|
| FOUR SEASONS IN HOME SERVICES, LLC | CLINTON | MO | $17.94M |
| PETTIS COUNTY ASSISTED LIVING, L.L.C. | SEDALIA | MO | $3.34M |
| CEDARS OF LIBERTY HEALTH CARE CENTER, L.L.C. | LIBERTY | MO | $3.15M |
| FOUR SEASONS IN HOME SERVICES,LLC | CLINTON | MO | $1.11M |
| LEVERING REGIONAL HEALTH CARE CENTER, LLC | HANNIBAL | MO | $364K |
| GREENVILLE HEALTH CARE CENTER, L.L.C. | GREENVILLE | MO | $48K |
| FOUR SEASONS IN HOME SERVICES,LLC | CLINTON | MO | $22K |
| PORTAGEVILLE HEALTH CARE CENTER, L.L.C. | PORTAGEVILLE | MO | $17K |
| MMA HEALTHCARE OF VIBURNUM, INC. | VIBURNUM | MO | $10K |
| EDGEWOOD MANOR HEALTH CARE CENTER, L.L.C. | RAYTOWN | MO | $5K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 244 | $3K |
| 2023 | 1,910 | $18K |
| 2024 | 431 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1,027 | 123 | $13K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 843 | 80 | $8K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 581 | 56 | $4K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 134 | 26 | $731.50 |