NPI: 1376910380 · MADISON, FL 32340 · Assisted Living Facility · NPI assigned 08/25/2015
95% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.
| Authorized Official | PEACOCK, RACHEL (ADMINISTRATOR) |
| NPI Enumeration Date | 08/25/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,271 | $247K |
| 2020 | 194 | $210K |
| 2021 | 201 | $196K |
| 2022 | 343 | $189K |
| 2023 | 119 | $161K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 1,044 | 870 | $954K |
| T1020 | Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 4,084 | 136 | $50K |