SAMUEL AND JILL HIERONYMUS
NPI: 1790138956
· WARSAW, MO 65355
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 07/22/2016
$8.18M
Total Medicaid Paid
Provider Details
| Authorized Official | HIERONYMUS, JILL (OWNER) |
| Parent Organization | SAMUEL AND JILL HIERONYMUS |
| NPI Enumeration Date | 07/22/2016 |
Related Entities
Other providers sharing the same authorized official: HIERONYMUS, JILL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,595 |
$765K |
| 2019 |
5,823 |
$810K |
| 2020 |
4,681 |
$704K |
| 2021 |
5,533 |
$850K |
| 2022 |
5,442 |
$1.25M |
| 2023 |
6,896 |
$1.79M |
| 2024 |
8,625 |
$2.02M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2021 |
Day habilitation, waiver; per 15 minutes |
39,659 |
2,484 |
$8.09M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
2,565 |
176 |
$71K |
| T2003 |
Non-emergency transportation; encounter/trip |
359 |
24 |
$22K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
12 |
12 |
$508.80 |