Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OH › ASHTABULA › COUNTRY CLUB RETIREMENT CENTER LLC

COUNTRY CLUB RETIREMENT CENTER LLC

NPI: 1144372137 · ASHTABULA, OH 44004 · Assisted Living Facility · NPI assigned 01/18/2007

$6K
Total Medicaid Paid
2,804
Total Claims
167
Beneficiaries
2
Codes Billed
2019-04
First Month
2022-12
Last Month

Provider Details

Authorized OfficialHARRIS, JANET (CEO)
NPI Enumeration Date01/18/2007

Related Entities

Other providers sharing the same authorized official: HARRIS, JANET

ProviderCityStateTotal Paid
SANCTUARY SKILLED HOME HEALTH CARE, LLC DOVER OH $223K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 517 $1K
2020 484 $2K
2022 1,803 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,409 141 $6K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 395 26 $156.98