INDIAN TRAILS CAMP, INC.
NPI: 1972847184
· GRAND RAPIDS, MI 49534
· Developmentally Disabled Services Day Training Agency
· NPI assigned 11/15/2012
$2.37M
Total Medicaid Paid
Provider Details
| Authorized Official | HILEMAN, TIMOTHY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/15/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,541 |
$561K |
| 2019 |
7,065 |
$453K |
| 2020 |
3,103 |
$193K |
| 2021 |
3,519 |
$237K |
| 2022 |
3,769 |
$228K |
| 2023 |
3,749 |
$291K |
| 2024 |
3,743 |
$407K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
29,467 |
3,061 |
$2.02M |
| H2014 |
Skills training and development, per 15 minutes |
3,688 |
382 |
$247K |
| H0045 |
Respite care services, not in the home, per diem |
290 |
63 |
$65K |
| T2036 |
Therapeutic camping, overnight, waiver; each session |
44 |
44 |
$35K |