Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › LAKE CITY › STILL WATERS OF LAKE CITY, INC.

STILL WATERS OF LAKE CITY, INC.

NPI: 1104160027 · LAKE CITY, FL 32055 · Alzheimer Center (Dementia Center) · NPI assigned 11/15/2012

$17K
Total Medicaid Paid
17
Total Claims
17
Beneficiaries
1
Codes Billed
2019-02
First Month
2019-02
Last Month

Provider Details

Authorized OfficialHYSELL, THREASA (EXECUTIVE DIRECTOR)
NPI Enumeration Date11/15/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 17 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 17 17 $17K