SPIRIT LAKE SENIOR OPERATOR, LLC
NPI: 1740812072
· SPIRIT LAKE, IA 51360
· Assisted Living Facility
· NPI assigned 02/05/2020
$660K
Total Medicaid Paid
Provider Details
| Authorized Official | SEWELL, MELISSA (ASSISTANT MANAGER) |
| NPI Enumeration Date | 02/05/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,194 |
$167K |
| 2022 |
704 |
$257K |
| 2023 |
605 |
$236K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
443 |
413 |
$297K |
| S5125 |
Attendant care services; per 15 minutes |
1,118 |
413 |
$182K |
| S5170 |
Home delivered meals, including preparation; per meal |
882 |
413 |
$178K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
60 |
60 |
$3K |