SOUTHWEST LOUISIANA INDEPENDENCE CENTER, INC
NPI: 1740316694
· LAKE CHARLES, LA 70605
· Case Management Agency
· NPI assigned 02/26/2007
$571K
Total Medicaid Paid
Provider Details
| Authorized Official | DARTEZ, RANDY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 02/26/2007 |
Related Entities
Other providers sharing the same authorized official: DARTEZ, RANDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,740 |
$188K |
| 2019 |
3,207 |
$182K |
| 2020 |
3,235 |
$187K |
| 2021 |
265 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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) |
11,447 |
506 |
$571K |