Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PAVILION GARDENS LLC

NPI: 1043412430 · HIALEAH, FL 33012 · Assisted Living Facility (Mental Illness) · NPI assigned 06/05/2007

$19K
Total Medicaid Paid
53
Total Claims
52
Beneficiaries
1
Codes Billed
2018-12
First Month
2019-03
Last Month

Provider Details

Authorized OfficialGODINEZ, ARMANDO (ADMINISTRATOR)
NPI Enumeration Date06/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $5K
2019 39 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 53 52 $19K