3825 COUNTRYSIDE BOULEVARD OPERATIONS LLC
NPI: 1063781839
· PALM HARBOR, FL 34684
· 314000000X
$3.09M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,613 |
$869K |
| 2019 |
36,334 |
$1.31M |
| 2020 |
20,803 |
$904K |
| 2021 |
34 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
22,070 |
1,036 |
$1.04M |
| 97530 |
|
25,279 |
1,076 |
$1.00M |
| 97535 |
|
8,913 |
565 |
$436K |
| 97116 |
|
6,055 |
464 |
$266K |
| 97112 |
|
6,082 |
696 |
$195K |
| G8978 |
Mobility current status |
487 |
183 |
$35K |
| 97140 |
|
2,702 |
265 |
$34K |
| G8988 |
Self care goal status |
377 |
140 |
$25K |
| 97542 |
|
1,871 |
264 |
$21K |
| G8979 |
Mobility goal status |
564 |
197 |
$19K |
| G8987 |
Self care current status |
274 |
110 |
$16K |
| G0008 |
Admin influenza virus vac |
43 |
32 |
$0.00 |
| 90662 |
|
40 |
30 |
$0.00 |
| 97161 |
|
27 |
16 |
$0.00 |