SUPERIOR MANOR OF DOWNTOWN LLC
NPI: 1770027997
· ST LOUIS, MO 63106
· Assisted Living Facility
· NPI assigned 12/07/2016
$436K
Total Medicaid Paid
Provider Details
| Authorized Official | WINBUSH, SARA (MANAGER) |
| NPI Enumeration Date | 12/07/2016 |
Related Entities
Other providers sharing the same authorized official: WINBUSH, SARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,178 |
$15K |
| 2020 |
10,432 |
$169K |
| 2021 |
1,921 |
$28K |
| 2022 |
2,176 |
$70K |
| 2023 |
3,420 |
$61K |
| 2024 |
5,145 |
$92K |
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) |
24,272 |
608 |
$436K |