GREEN ACRES RESIDENTIAL CARE FACILITY, LLC
NPI: 1861868135
· FARMINGTON, MO 63640
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 08/20/2015
$572K
Total Medicaid Paid
Provider Details
| Authorized Official | GREEN, HOLLY (OWNER) |
| NPI Enumeration Date | 08/20/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
26 |
$12K |
| 2022 |
393 |
$233K |
| 2023 |
275 |
$170K |
| 2024 |
274 |
$157K |
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) |
829 |
336 |
$557K |
| T1001 |
Nursing assessment / evaluation |
139 |
120 |
$15K |