PINE ACRES ASSISTED LIVING LLC
NPI: 1245822105
· WEST DES MOINES, IA 50265
· 310400000X
$862K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,549 |
$76K |
| 2022 |
1,652 |
$230K |
| 2023 |
1,342 |
$363K |
| 2024 |
574 |
$193K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assist living waiver/diem |
933 |
685 |
$409K |
| S5125 |
Attendant care service /15m |
1,141 |
698 |
$219K |
| S5170 |
Homedelivered prepared meal |
2,105 |
728 |
$213K |
| S5161 |
Emer rspns sys serv permonth |
938 |
680 |
$22K |