ABUNDANT GRACE COMMUNITY HEALTH SERVICES, LLC
NPI: 1932642253
· HAZELWOOD, MO 63042
· In Home Supportive Care Agency
· NPI assigned 11/19/2016
$153K
Total Medicaid Paid
Provider Details
| Authorized Official | BOLDEN, ARMENE (DIRECTOR) |
| NPI Enumeration Date | 11/19/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
107 |
$67K |
| 2021 |
158 |
$87K |
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) |
265 |
120 |
$153K |