SOUTH STREET ADULT CARE, LLC
NPI: 1699144162
· HOLYOKE, MA 01040
· Nursing Care Agency
· NPI assigned 09/15/2015
$3.22M
Total Medicaid Paid
Provider Details
| Authorized Official | MCCLUSKEY, JOANN (EX DIRECTOR) |
| NPI Enumeration Date | 09/15/2015 |
Related Entities
Other providers sharing the same authorized official: MCCLUSKEY, JOANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
50,016 |
$1.69M |
| 2019 |
44,960 |
$1.53M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5100 |
Day care services, adult; per 15 minutes |
24,063 |
2,123 |
$1.39M |
| T2003 |
Non-emergency transportation; encounter/trip |
57,564 |
2,347 |
$1.03M |
| S5102 |
Day care services, adult; per diem |
13,349 |
1,189 |
$803K |