BIG LAKE COUNTRY CLUB, LLC
NPI: 1639497415
· HOUSTON, AK 99694
· Case Management Agency
· NPI assigned 05/04/2010
$1.60M
Total Medicaid Paid
Provider Details
| Authorized Official | PLETTNER, LYNDA (PRESIDENT / ADMINISTRATOR) |
| NPI Enumeration Date | 05/04/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,667 |
$420K |
| 2019 |
884 |
$257K |
| 2020 |
490 |
$139K |
| 2021 |
2,542 |
$632K |
| 2022 |
602 |
$156K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
4,076 |
132 |
$1.27M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,109 |
196 |
$329K |