Medicaid Provider Spending

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

LDRKAIR

NPI: 1386971877 · SNOWFLAKE, AZ 85937 · Adult Care Home Facility · NPI assigned 11/04/2009

$59K
Total Medicaid Paid
57
Total Claims
51
Beneficiary Records
1
Codes Billed
2019-05
First Month
2019-08
Last Month

Provider Details

Authorized OfficialMATYAS, LARRY (OWNER)
NPI Enumeration Date11/04/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 57 $59K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
T2033 Residential care, not otherwise specified (nos), waiver; per diem 57 51 $59K