CHICOT MEMORIAL MEDICAL CENTER
NPI: 1568787059
· LAKE VILLAGE, AR 71653
· Home Health Agency
· NPI assigned 03/29/2010
$179K
Total Medicaid Paid
Provider Details
| Authorized Official | VAUGHN, SUSAN (CFO) |
| Parent Organization | CHICOT MEMORIAL MEDICAL CENTER |
| NPI Enumeration Date | 03/29/2010 |
Related Entities
Other providers sharing the same authorized official: VAUGHN, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
355 |
$31K |
| 2020 |
49 |
$6K |
| 2021 |
509 |
$59K |
| 2022 |
72 |
$11K |
| 2023 |
422 |
$50K |
| 2024 |
185 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1021 |
Home health aide or certified nurse assistant, per visit |
1,592 |
375 |
$179K |