1120 WEST DONEGAN AVENUE OPERATIONS LLC
NPI: 1245509058
· KISSIMMEE, FL 34741
· 314000000X
$944K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,533 |
$205K |
| 2019 |
8,363 |
$294K |
| 2020 |
12,092 |
$371K |
| 2021 |
4,894 |
$33K |
| 2022 |
1,394 |
$22K |
| 2023 |
981 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
12,680 |
610 |
$376K |
| 97110 |
|
10,343 |
576 |
$356K |
| 97112 |
|
6,400 |
463 |
$111K |
| 97535 |
|
1,501 |
127 |
$71K |
| 97140 |
|
262 |
12 |
$19K |
| G8988 |
Self care goal status |
102 |
51 |
$4K |
| 97129 |
|
442 |
39 |
$4K |
| G8987 |
Self care current status |
18 |
12 |
$2K |
| G0515 |
Cognitive skills development |
120 |
14 |
$406.40 |
| 91300 |
|
19 |
12 |
$0.00 |
| 90662 |
|
59 |
48 |
$0.00 |
| 97116 |
|
190 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
75 |
61 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
23 |
16 |
$0.00 |
| 90732 |
|
23 |
16 |
$0.00 |