HUDSON'S COUNTRY MANOR, INC
NPI: 1649303744
· PORTAGE, MI 49024
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 03/14/2007
$2.03M
Total Medicaid Paid
Provider Details
| Authorized Official | LOUDEN, ONDREA (ADMINISTRATOR) |
| NPI Enumeration Date | 03/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,972 |
$440K |
| 2019 |
11,773 |
$446K |
| 2020 |
12,286 |
$503K |
| 2021 |
9,918 |
$449K |
| 2022 |
4,106 |
$193K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
25,030 |
862 |
$1.22M |
| 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) |
25,025 |
862 |
$814K |