Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › DAYTONA BEACH › MAGNOLA MANOR AT DAYTONA BEACH, LLC

MAGNOLA MANOR AT DAYTONA BEACH, LLC

NPI: 1134675234 · DAYTONA BEACH, FL 32119 · Assisted Living Facility · NPI assigned 08/29/2016

$405K
Total Medicaid Paid
317
Total Claims
303
Beneficiaries
1
Codes Billed
2022-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJOHNSON, SAVITRI (ADMINISTRATIVE ASSISTANT)
NPI Enumeration Date08/29/2016

Related Entities

Other providers sharing the same authorized official: JOHNSON, SAVITRI

ProviderCityStateTotal Paid
GRACE MANOR SUITES LAKELAND FL $1.66M
ANSLEY PARKE AT OAKBRIDGE LLC LAKELAND FL $572K
CEDAR CREEK ASSISTED LIVING LLC MERRITT ISLAND FL $176K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 69 $75K
2023 164 $213K
2024 84 $117K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 317 303 $405K