Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BOULDERWOOD ESTATES LLC

NPI: 1669928834 · NIXA, MO 65714 · In Home Supportive Care Agency · NPI assigned 08/28/2016

$151K
Total Medicaid Paid
846
Total Claims
382
Beneficiary Records
2
Codes Billed
2018-01
First Month
2018-09
Last Month

Provider Details

Authorized OfficialEDMONDS, KEVIN (MEMBER)
NPI Enumeration Date08/28/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 846 $151K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal 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) 831 370 $151K
T1001 Nursing assessment / evaluation 15 12 $458.50