NOBLE HOUSE RETIREMENT OF JACKSONVILLE
NPI: 1114326410
· JACKSONVILLE, FL 32210
· 310400000X
$949K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
399 |
$427K |
| 2020 |
537 |
$522K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assist living waiver/month |
850 |
755 |
$861K |
| T1020 |
Personal care ser per diem |
86 |
85 |
$88K |