Nursing facility
FS Tenant Pool IV Trust
FS Tenant Pool IV Trust was paid $142K by Medicaid between Mar 2018 and Dec 2020, across 1 billing code. Its largest line is T2030, Assisted living, waiver; per month — 100% of everything it billed.
33Billing provider infoFS TENANT POOL IV TRUST
FORT MYERS, FL 33907
FORT MYERS, FL 33907
33aNPI1245256700assigned 07/15/2006
33bProvider typeAssisted Living Facility
28Total paid$142K
24GClaims1,116
24DCodes billed1
24AFirst – last monthMar 2018 – Dec 2020
Compared with peers
Next to other Assisted Living Facility providers in Florida
Rank by total paid#528 of 674
Median peer was paid$673K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 167 | $106K | |
| 2019 | 385 | $35K | |
| 2020 | 564 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 100% | 1,116 | 593 | $142K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPOTTER, KATHERINE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
Parent organizationFS TENANT POOL IV TRUST
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.