CHILLICOTHE MANOR I LLC
NPI: 1922786615
· CHILLICOTHE, MO 64601
· Assisted Living Facility
· NPI assigned 07/11/2023
$473K
Total Medicaid Paid
Provider Details
| Authorized Official | EDERY, RAQUEL (COO) |
| NPI Enumeration Date | 07/11/2023 |
Related Entities
Other providers sharing the same authorized official: EDERY, RAQUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
275 |
$81K |
| 2023 |
244 |
$127K |
| 2024 |
726 |
$265K |
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) |
1,058 |
829 |
$463K |
| T1001 |
Nursing assessment / evaluation |
187 |
108 |
$10K |