120 RIDER AVENUE OPERATING COMPANY, LP
NPI: 1992002505
· LANCASTER, PA 17603
· Nursing Care Agency
· NPI assigned 02/16/2011
$2.03M
Total Medicaid Paid
Provider Details
| Authorized Official | KENWORTHY, KIMBERLY (SR. DIRECTOR REVENUE CYCLE MGMT) |
| NPI Enumeration Date | 02/16/2011 |
Related Entities
Other providers sharing the same authorized official: KENWORTHY, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
238 |
$939K |
| 2021 |
304 |
$1.09M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1020 |
Personal care services, per diem, 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) |
134 |
124 |
$910K |
| S9124 |
Nursing care, in the home; by licensed practical nurse, per hour |
136 |
124 |
$622K |
| S9122 |
Home health aide or certified nurse assistant, providing care in the home; per hour |
136 |
124 |
$333K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
136 |
124 |
$164K |