NPI: 1871972349 · GREEN BAY, WI 54301 · Community/Behavioral Health Agency · NPI assigned 05/29/2015
| Authorized Official | RAY, DRUE (OFFICER) |
| Parent Organization | INNOVATIVE SERVICES, INC. |
| NPI Enumeration Date | 05/29/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,449 | $698K |
| 2019 | 1,931 | $679K |
| 2020 | 762 | $281K |
| 2021 | 528 | $158K |
| 2022 | 389 | $147K |
| 2023 | 171 | $65K |
| 2024 | 39,906 | $1.77M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5136 | Companion care, adult (e.g., iadl/adl); per diem | 39,906 | 1,701 | $1.77M |
| S5150 | Unskilled respite care, not hospice; per 15 minutes | 1,015 | 933 | $930K |
| T2017 | Habilitation, residential, waiver; 15 minutes | 1,816 | 966 | $679K |
| H0038 | Self-help/peer services, per 15 minutes | 2,208 | 285 | $240K |
| T2013 | Habilitation, educational, waiver; per hour | 1,630 | 170 | $142K |
| S0215 | Non-emergency transportation; mileage, per mile | 561 | 519 | $36K |