Medicaid Provider Spending

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

11 HISTORY LANE OPERATING COMPANY, LLC

NPI: 1073170072 · JACKSON, NJ 08527 · Assisted Living Facility · NPI assigned 05/24/2019

$151K
Total Medicaid Paid
93
Total Claims
84
Beneficiaries
1
Codes Billed
2023-02
First Month
2023-11
Last Month

Provider Details

Authorized OfficialLUGO, ANDROVSKY (GENERAL COUNSEL/EXECUTIVE VICE PRES)
NPI Enumeration Date05/24/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 93 $151K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 93 84 $151K