OUR SUMMER PLACE,LLC
NPI: 1194839704
· PORTSMOUTH, VA 23703
· Point of Service
· NPI assigned 08/19/2006
$1.75M
Total Medicaid Paid
Provider Details
| Authorized Official | SPENCER, ZATERA (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 08/19/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
377 |
$121K |
| 2019 |
195 |
$66K |
| 2022 |
1,402 |
$323K |
| 2023 |
543 |
$439K |
| 2024 |
767 |
$801K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2021 |
Day habilitation, waiver; per 15 minutes |
855 |
243 |
$888K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
1,438 |
414 |
$853K |
| T2003 |
Non-emergency transportation; encounter/trip |
991 |
53 |
$10K |