SURPRISE MC, LLC
NPI: 1194432690
· SURPRISE, AZ 85374
· Assisted Living Facility
· NPI assigned 11/03/2022
$763K
Total Medicaid Paid
Provider Details
| Authorized Official | SPROUL, DOUGLAS (MANAGER) |
| NPI Enumeration Date | 11/03/2022 |
Related Entities
Other providers sharing the same authorized official: SPROUL, DOUGLAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
226 |
$763K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
226 |
224 |
$763K |