NPI: 1700928629 · CLINTON, IA 52732 · Intellectual Disabilities Intermediate Care Facility · NPI assigned 02/14/2007
| Authorized Official | KETELSEN, BETTY (ADMINISTRATIVE ASSISTANT) |
| NPI Enumeration Date | 02/14/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,173 | $574K |
| 2021 | 3,337 | $925K |
| 2022 | 4,884 | $1.62M |
| 2023 | 9,496 | $1.84M |
| 2024 | 10,007 | $1.99M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5136 | Companion care, adult (e.g., iadl/adl); per diem | 11,678 | 402 | $3.22M |
| H2016 | Comprehensive community support services, per diem | 10,001 | 330 | $3.03M |
| T2020 | Day habilitation, waiver; per diem | 7,236 | 503 | $633K |
| T2021 | Day habilitation, waiver; per 15 minutes | 793 | 156 | $35K |
| H2015 | Comprehensive community support services, per 15 minutes | 189 | 24 | $31K |