COUNCIL OF THE SOUTHERN MOUNTAINS
NPI: 1881716611
· KEYSTONE, WV 24868
· Developmentally Disabled Services Day Training Agency
· NPI assigned 04/04/2007
$9.02M
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, RANDAL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/04/2007 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, RANDAL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,595 |
$559K |
| 2019 |
5,272 |
$485K |
| 2020 |
4,340 |
$463K |
| 2021 |
8,312 |
$1.50M |
| 2022 |
9,234 |
$1.86M |
| 2023 |
10,516 |
$2.08M |
| 2024 |
11,285 |
$2.08M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
51,706 |
1,581 |
$8.61M |
| G9002 |
Coordinated care fee, maintenance rate |
1,158 |
1,062 |
$233K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
530 |
500 |
$101K |
| T1016 |
Case management, each 15 minutes |
893 |
551 |
$52K |
| T1002 |
Rn services, up to 15 minutes |
470 |
134 |
$14K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
748 |
140 |
$13K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
49 |
38 |
$1K |