NPI: 1942813407 · WHITE BEAR LAKE, MN 55110 · Home Health Agency · NPI assigned 08/25/2020
| Authorized Official | LEE, PANGDA (PRESIDENT) |
| NPI Enumeration Date | 08/25/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 3,727 | $308K |
| 2023 | 3,012 | $92K |
| 2024 | 3,281 | $395K |
| 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) | 4,223 | 163 | $519K |
| S5130 | Homemaker service, nos; per 15 minutes | 5,797 | 520 | $276K |