GOODWILL OF THE GREAT PLAINS
NPI: 1750439501
· SIOUX CITY, IA 51103
· Adult Day Care Clinic/Center
· NPI assigned 01/08/2007
$6.65M
Total Medicaid Paid
Provider Details
| Authorized Official | FICK, SHAWN (VICE PRESIDENT MISSION ADVANCEMENT) |
| NPI Enumeration Date | 01/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
10,474 |
$446K |
| 2019 |
11,412 |
$723K |
| 2020 |
4,974 |
$525K |
| 2021 |
7,584 |
$883K |
| 2022 |
10,325 |
$1.25M |
| 2023 |
14,370 |
$1.38M |
| 2024 |
20,709 |
$1.45M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
8,617 |
4,428 |
$3.00M |
| T2020 |
Day habilitation, waiver; per diem |
35,935 |
2,652 |
$2.40M |
| T2015 |
Habilitation, prevocational, waiver; per hour |
22,437 |
2,748 |
$774K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
12,415 |
1,431 |
$448K |
| T2018 |
Habilitation, supported employment, waiver; per diem |
444 |
137 |
$40K |