Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › SULLIVAN › AMERICARE AT VICTORIAN MANOR OF SULLIVAN, LLC

AMERICARE AT VICTORIAN MANOR OF SULLIVAN, LLC

NPI: 1386980068 · SULLIVAN, MO 63080 · Assisted Living Facility · NPI assigned 12/27/2012

$6K
Total Medicaid Paid
29
Total Claims
13
Beneficiaries
1
Codes Billed
2020-12
First Month
2020-12
Last Month

Provider Details

Authorized OfficialSCHADE, KYLE (MANAGER)
NPI Enumeration Date12/27/2012

Related Entities

Other providers sharing the same authorized official: SCHADE, KYLE

ProviderCityStateTotal Paid
ASHBROOK RESIDENTIAL, LLC FARMINGTON MO $460K
AMERICARE AT VICTORIAN MANOR OF ST. CLAIR, LLC SAINT CLAIR MO $345K
MOBERLY RESIDENTIAL, LLC MOBERLY MO $319K
ASHLAND VILLA, LLC ASHLAND MO $46K
RAVENWOOD RESIDENTIAL, LLC SPRINGFIELD MO $31K
AMERICARE AT VICTORIAN MANOR OF UNION, LLC UNION MO $17K
SPRING RIDGE RESIDENTIAL, LLC SPRINGFIELD MO $15K
AMERICARE AT MAPLEBROOK SKILLED NURSING LLC FARMINGTON MO $12K
AMERICARE AT CLARK'S MOUNTAIN NURSING CENTER LLC PIEDMONT MO $1K
OSAGE NURSING, LLC OSAGE CITY KS $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 29 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal care services, per 15 minutes, 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) 29 13 $6K