NPI: 1780882373 · LAKE KATRINE, NY 12449 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 07/05/2007
96% of spending on code H0040 with only 3 total codes billed. Highly concentrated billing profile.
| Authorized Official | PENDEGAR, ELLEN (CEO) |
| NPI Enumeration Date | 07/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 78 | $104K |
| 2020 | 543 | $914K |
| 2021 | 488 | $884K |
| 2022 | 617 | $1.20M |
| 2023 | 642 | $1.21M |
| 2024 | 594 | $1.15M |