Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

QUEENS BLVD EXT CARE FACILITY MANAGEMENT LLC

NPI: 1376943761 · WOODSIDE, NY 11377 · Adult Day Care Clinic/Center · NPI assigned 09/04/2014

$10K
Total Medicaid Paid
140
Total Claims
12
Beneficiaries
1
Codes Billed
2018-05
First Month
2018-05
Last Month

Provider Details

Authorized OfficialMALONE, JOSEPH (CFO)
NPI Enumeration Date09/04/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 140 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Day care services, adult; per diem 140 12 $10K