MEDICINE WHEEL VILLAGE
NPI: 1699159236
· EAGLE BUTTE, SD 57625
· Assisted Living Facility
· NPI assigned 07/14/2015
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | CLOWN, KIMBERLY (ASSISTED LIVING ADMINISTRATOR) |
| NPI Enumeration Date | 07/14/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
110 |
$75K |
| 2019 |
52 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
146 |
99 |
$120K |
| T2016 |
Habilitation, residential, waiver; per diem |
16 |
12 |
$0.00 |