NPI: 1831143478 · PORTLAND, IN 47371 · Intellectual Disabilities Intermediate Care Facility · NPI assigned 05/19/2006
| Authorized Official | YOUNG, ANITA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/19/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 47,182 | $2.46M |
| 2019 | 59,151 | $2.32M |
| 2020 | 30,357 | $1.94M |
| 2021 | 17,255 | $996K |
| 2023 | 505 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | 37,393 | 1,376 | $6.07M |
| T2020 | Day habilitation, waiver; per diem | 38,374 | 1,368 | $547K |
| T2015 | Habilitation, prevocational, waiver; per hour | 42,414 | 1,225 | $520K |
| T2002 | Non-emergency transportation; per diem | 31,808 | 1,976 | $240K |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 3,418 | 663 | $236K |
| T2022 | Case management, per month | 1,043 | 972 | $98K |