EQUILIBRIUM HOMES OF ST. LOUIS LLC
NPI: 1699213603
· FLORISSANT, MO 63033
· Intellectual Disabilities Intermediate Care Facility
· NPI assigned 02/09/2017
$17.07M
Total Medicaid Paid
Provider Details
| Authorized Official | POWELL, IESHA (OWNER / PROGRAM DIRECTOR) |
| NPI Enumeration Date | 02/09/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
691 |
$382K |
| 2020 |
3,272 |
$2.21M |
| 2021 |
5,602 |
$4.58M |
| 2022 |
5,430 |
$5.35M |
| 2023 |
2,209 |
$2.60M |
| 2024 |
1,766 |
$1.95M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
17,780 |
619 |
$16.86M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
486 |
87 |
$132K |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
201 |
16 |
$43K |
| T1002 |
Rn services, up to 15 minutes |
503 |
456 |
$36K |