FREDERICK STREET MANOR LLC
NPI: 1518535285
· CAPE GIRARDEAU, MO 63701
· 310400000X
$317K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34 |
$7K |
| 2019 |
17 |
$4K |
| 2020 |
101 |
$29K |
| 2023 |
192 |
$88K |
| 2024 |
334 |
$189K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
617 |
372 |
$311K |
| T1001 |
Nursing assessment/evaluatn |
61 |
60 |
$6K |