TCAL2
NPI: 1336749373
· LAKEWOOD, CO 80232
· Assisted Living Facility
· NPI assigned 10/29/2020
$258K
Total Medicaid Paid
Provider Details
| Authorized Official | WILEY, JUSTIN (OWNER) |
| NPI Enumeration Date | 10/29/2020 |
Related Entities
Other providers sharing the same authorized official: WILEY, JUSTIN
| Provider | City | State | Total Paid |
|---|
| TCAL2 |
LAKEWOOD |
CO |
$37K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
538 |
$149K |
| 2023 |
236 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
774 |
146 |
$258K |