PINE ACRES ASSISTED LIVING LLC
NPI: 1245822105
· WEST DES MOINES, IA 50265
· Assisted Living Facility
· NPI assigned 02/10/2021
$862K
Total Medicaid Paid
Provider Details
| Authorized Official | KAPLAN, YISROEL (MANAGER) |
| NPI Enumeration Date | 02/10/2021 |
Related Entities
Other providers sharing the same authorized official: KAPLAN, YISROEL
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 |
Assisted living; waiver, per diem |
933 |
685 |
$409K |
| S5125 |
Attendant care services; per 15 minutes |
1,141 |
698 |
$219K |
| S5170 |
Home delivered meals, including preparation; per meal |
2,105 |
728 |
$213K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
938 |
680 |
$22K |