Medicaid Provider Spending

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

MG PORT CHARLOTTE II SUBTENANT LLC

NPI: 1083242945 · PORT CHARLOTTE, FL 33948 · Assisted Living Facility · NPI assigned 03/27/2020

$29K
Total Medicaid Paid
45
Total Claims
27
Beneficiaries
1
Codes Billed
2020-03
First Month
2020-05
Last Month

Provider Details

Authorized OfficialSPEAR, DOUGLAS (AUTHORIZED REPRESENTATIVE)
NPI Enumeration Date03/27/2020

Related Entities

Other providers sharing the same authorized official: SPEAR, DOUGLAS

ProviderCityStateTotal Paid
MG TAYLORSVILLE SUBTENANT LLC TAYLORSVILLE UT $2.70M
MG COTTONWOOD HEIGHTS SUBTENANT LLC COTTONWOOD HEIGHTS UT $1.43M
MG BOUNTIFUL SUBTENANT LLC BOUNTIFUL UT $1.27M
MG PORT CHARLOTTE I SUBTENANT LLC PORT CHARLOTTE FL $412K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 45 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 45 27 $29K