WEST SHORE HOMES AFC, LLC
NPI: 1558801118
· GRAWN, MI 49637
· Adult Care Home Facility
· NPI assigned 03/02/2017
$297K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHOLTUS, RANDY (ADMINISTRATOR/ LICENSE DESIGNEE) |
| NPI Enumeration Date | 03/02/2017 |
Related Entities
Other providers sharing the same authorized official: SCHOLTUS, RANDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
172 |
$251K |
| 2020 |
24 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care services, per diem, 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) |
98 |
72 |
$175K |
| H2016 |
Comprehensive community support services, per diem |
98 |
72 |
$122K |