GRACIE LANE DAY HAB, LLC
NPI: 1881055812
· KOSHKONONG, MO 65692
· Respite Care
· NPI assigned 03/18/2016
$13.07M
Total Medicaid Paid
Provider Details
| Authorized Official | RIGEL, MYRTLE (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 03/18/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,872 |
$712K |
| 2019 |
5,193 |
$747K |
| 2020 |
3,266 |
$484K |
| 2021 |
3,676 |
$577K |
| 2022 |
5,852 |
$2.15M |
| 2023 |
8,100 |
$4.07M |
| 2024 |
8,796 |
$4.33M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
11,077 |
367 |
$7.31M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
26,864 |
2,240 |
$5.62M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
252 |
252 |
$55K |
| T2002 |
Non-emergency transportation; per diem |
969 |
75 |
$46K |
| T1002 |
Rn services, up to 15 minutes |
593 |
565 |
$38K |