ESL SD VICTORIAN OPERATIONS LLC
NPI: 1245724509
· RAPID CITY, SD 57701
· Assisted Living Facility
· NPI assigned 06/20/2018
$873K
Total Medicaid Paid
Provider Details
| Authorized Official | UHLIR, BRIAN (CFO) |
| NPI Enumeration Date | 06/20/2018 |
Related Entities
Other providers sharing the same authorized official: UHLIR, BRIAN
| Provider | City | State | Total Paid |
|---|
| RCLALC,LLC |
RAPID CITY |
SD |
$2.93M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
50 |
$51K |
| 2022 |
229 |
$251K |
| 2023 |
354 |
$259K |
| 2024 |
370 |
$311K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
1,003 |
594 |
$873K |