Provident Foundation - Wedgewood Terrace LLC

Provident Foundation - Wedgewood Terrace LLC was paid $410K by Medicaid between Jul 2019 and Aug 2023, across 1 billing code. Its largest line is S5140, Foster care, adult; per diem — 100% of everything it billed.

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
2019	95	$99K
2020	122	$99K
2023	117	$212K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5140	Foster care, adult; per diem	100%	334	245	$410K

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 officialLOCKWOOD, DEBRA (PRESIDENT & CHIEF FINANCIAL OFFICER)