NPI: 1821113408 · SUMMERSVILLE, MO 65571 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 03/20/2007
| Authorized Official | SMITH, SANDRA (QMRP) |
| NPI Enumeration Date | 03/20/2007 |
Other providers sharing the same authorized official: SMITH, SANDRA
| Provider | City | State | Total Paid |
|---|---|---|---|
| NORTH DAKOTA AUTISM CENTER, INC | WEST FARGO | ND | $5.70M |
| SYCAMORE MEDICAL SUPPLIES LLC | HARRISON | OH | $2.49M |
| REGEN, SMITH AND SMITH, LLC | BLOUNTVILLE | TN | $1.05M |
| DR. SANDRA J SMITH | RICHMOND | VA | $60K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,890 | $647K |
| 2019 | 989 | $218K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 4,879 | 168 | $865K |