COLONIAL HOUSE OF CRYSTAL CITY, LLC
NPI: 1962644401
· CRYSTAL CITY, MO 63019
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 03/30/2009
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | SAUER, ALYSHA (MEMBER) |
| NPI Enumeration Date | 03/30/2009 |
Related Entities
Other providers sharing the same authorized official: SAUER, ALYSHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
525 |
$46K |
| 2019 |
346 |
$30K |
| 2020 |
331 |
$44K |
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) |
1,202 |
522 |
$119K |