THE ESTATES OF PERRYVILLE, LLC
NPI: 1164826004
· PERRYVILLE, MO 63775
· Skilled Nursing Facility
· NPI assigned 10/21/2014
$286.27
Total Medicaid Paid
Provider Details
| Authorized Official | SPECTOR, TUVIYAH (MANAGING MEMBER) |
| NPI Enumeration Date | 10/21/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
47 |
$286.27 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
47 |
12 |
$286.27 |