Medicaid Provider Spending

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

FS TENANT POOL IV TRUST

NPI: 1245256700 · FORT MYERS, FL 33907 · Assisted Living Facility · NPI assigned 07/15/2006

$142K
Total Medicaid Paid
1,116
Total Claims
593
Beneficiaries
1
Codes Billed
2018-03
First Month
2020-12
Last Month

Provider Details

Authorized OfficialPOTTER, KATHERINE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
Parent OrganizationFS TENANT POOL IV TRUST
NPI Enumeration Date07/15/2006

Related Entities

Other providers sharing the same authorized official: POTTER, KATHERINE

ProviderCityStateTotal Paid
FS LEISURE PARK TENANT TRUST LAKEWOOD NJ $868K
FVE EC LLC SEWELL NJ $287K
FIVE STAR QUALITY CARE-FL, LLC NAPLES FL $274K
FIVE STAR QUALITY CARE-NJ, LLC VOORHEES NJ $53K
FIVE STAR QUALITY CARE CA LLC LANCASTER CA $20K
FIVE STAR QUALITY CARE CA LLC VAN NUYS CA $19K
FIVE STAR QUALITY CARE-COLORADO LLC LITTLETON CO $6K
FIVE STAR QUALITY CARE - NE INC CENTRAL CITY NE $428.17

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 167 $106K
2019 385 $35K
2020 564 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 1,116 593 $142K