FREDERICK STREET MANOR LLC
NPI: 1518535285
· CAPE GIRARDEAU, MO 63701
· Assisted Living Facility
· NPI assigned 06/17/2021
$317K
Total Medicaid Paid
Provider Details
| Authorized Official | WOOD, KEVIN (OWNER) |
| NPI Enumeration Date | 06/17/2021 |
Related Entities
Other providers sharing the same authorized official: WOOD, KEVIN
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 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) |
617 |
372 |
$311K |
| T1001 |
Nursing assessment / evaluation |
61 |
60 |
$6K |