COUNTRYSIDE CARE CENTER, LLC
NPI: 1568818607
· MONETT, MO 65708
· Assisted Living Facility
· NPI assigned 05/08/2016
$879K
Total Medicaid Paid
Provider Details
| Authorized Official | HOWLETT, MARY (OWNER) |
| NPI Enumeration Date | 05/08/2016 |
Related Entities
Other providers sharing the same authorized official: HOWLETT, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
323 |
$171K |
| 2019 |
234 |
$137K |
| 2020 |
256 |
$113K |
| 2021 |
218 |
$83K |
| 2022 |
356 |
$191K |
| 2023 |
51 |
$37K |
| 2024 |
185 |
$148K |
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) |
1,623 |
985 |
$879K |