PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC

NPI: 1821025826 · BALLWIN, MO 63011 · Community Based Hospice Care Agency · NPI assigned 06/26/2006

$104K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2018-01

First Month

2020-12

Last Month

Provider Details

Authorized Official	LINCOLN, JAMES (MEMBER)
NPI Enumeration Date	06/26/2006

Other providers sharing the same authorized official: LINCOLN, JAMES

Provider	City	State	Total Paid
PREFERRED HOSPICE OF MISSOURI SOUTHWEST LLC	OZARK	MO	$12.93M
PREFERRED HOSPICE OF MISSOURI LLC	DEXTER	MO	$2.81M
PREFERRED HOSPICE OF MISSOURI CENTRAL LLC	COLUMBIA	MO	$158K
MED SUPPLY INC	OSAGE BEACH	MO	$27K
N & R OF KIMBERLING CITY LLC	KIMBERLING CITY	MO	$12K
WASHINGTON N & R, LLC	WASHINGTON	MO	$6K
N & R OF PLATTE CITY, INC.	PLATTE CITY	MO	$202.54
CURRENT RIVER NURSING CENTER, INC.	DONIPHAN	MO	$74.62
EXCELSIOR SPRINGS NURSING AND REHAB LLC	EXCELSIOR SPRINGS	MO	$47.97

Year	Claims	Total Paid
2018	18	$30K
2020	34	$74K

Code	Description	Claims	Beneficiaries	Total Paid
Y9504		52	39	$104K