STODDARD COUNTY ARC ISL
NPI: 1699896175
· DEXTER, MO 63841
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 04/03/2007
$293K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CHESSER, CYNTHIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
3,213 |
$78K |
| 2023 |
6,386 |
$164K |
| 2024 |
5,857 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
15,444 |
825 |
$291K |
| 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) |
12 |
12 |
$2K |