OLIVE MOUNTAIN RESIDENTIAL CARE LLC
NPI: 1811929623
· LEBANON, MO 65536
· Assisted Living Facility
· NPI assigned 07/06/2006
$365K
Total Medicaid Paid
Provider Details
| Authorized Official | UPTON, STEPHANIE (FINANCIAL MANAGER) |
| NPI Enumeration Date | 07/06/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
803 |
$148K |
| 2019 |
170 |
$36K |
| 2020 |
315 |
$98K |
| 2021 |
259 |
$83K |
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) |
1,318 |
795 |
$358K |
| T1001 |
Nursing assessment / evaluation |
229 |
211 |
$7K |