STATESVILLE ASSISTED LIVING
NPI: 1124191804
· STATESVILLE, NC 28625
· Preferred Provider Organization
· NPI assigned 11/17/2006
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | BACCALA, ALDO (EXECUITVE OFFICER) |
| NPI Enumeration Date | 11/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,018 |
$41K |
| 2019 |
1,925 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99509 |
Home visit for assistance with activities of daily living and personal care |
2,943 |
99 |
$120K |