COMMUNITY RESIDENCE, INC.
NPI: 1669479150
· MOUNT VERNON, MO 65712
· Adult Care Home Facility
· NPI assigned 06/30/2005
$157K
Total Medicaid Paid
Provider Details
| Authorized Official | GIARDINA, JAMES (PRESIDENT) |
| NPI Enumeration Date | 06/30/2005 |
Related Entities
Other providers sharing the same authorized official: GIARDINA, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
3,054 |
$30K |
| 2021 |
7,561 |
$100K |
| 2022 |
2,724 |
$27K |
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) |
13,339 |
200 |
$157K |