Nursing facility
Pavilion Gardens LLC
Pavilion Gardens LLC was paid $19K by Medicaid between Dec 2018 and Mar 2019, across 1 billing code. Its largest line is T1020, help at home with daily living, billed per day — 100% of everything it billed.
33Billing provider infoPAVILION GARDENS LLC
HIALEAH, FL 33012
HIALEAH, FL 33012
33aNPI1043412430assigned 06/05/2007
33bProvider typeAssisted Living Facility (Mental Illness)
28Total paid$19K
24GClaims53
24DCodes billed1
24AFirst – last monthDec 2018 – Mar 2019
Compared with peers
Next to other Assisted Living Facility (Mental Illness) providers in Florida
Rank by total paid#58 of 63
Median peer was paid$728K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14 | $5K | |
| 2019 | 39 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1020 | Help at home with daily living, billed per dayPersonal 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) | 100% | 53 | 52 | $19K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGODINEZ, ARMANDO (ADMINISTRATOR)