Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMERVILLE 17, LLC

NPI: 1205163995 · DEERFIELD BEACH, FL 33442 · 310400000X

$468K
Total Medicaid Paid
442
Total Claims
359
Beneficiaries
1
Codes Billed
2019-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 233 $140K
2020 14 $19K
2022 12 $16K
2023 39 $60K
2024 144 $234K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assist living waiver/month 442 359 $468K