LEGACY ON 10TH OPCO, LLC
NPI: 1396114054
· TOPEKA, KS 66607
· Skilled Nursing Facility
· NPI assigned 09/23/2015
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | DOLE, ISAAC (MANAGER) |
| NPI Enumeration Date | 09/23/2015 |
Related Entities
Other providers sharing the same authorized official: DOLE, ISAAC
| Provider | City | State | Total Paid |
|---|
| DADE CITY, FL OPCO, LLC |
CHICAGO |
IL |
$2.26M |
| THONOTOSASSA, FL OPCO, LLC |
THONOTOSASSA |
FL |
$393K |
| OPCO UNIVERSITY PARK, IA, LLC |
DES MOINES |
IA |
$9K |
| FAIRHAVEN OPCO, LLC |
HUNTINGTON |
WV |
$7K |
| OPCO ALTOONA, IA, LLC |
ALTOONA |
IA |
$1K |
| OPCO UNIVERSITY PARK, IA, LLC |
DES MOINES |
IA |
$62.08 |
| OPCO URBANDALE, IA, LLC |
URBANDALE |
IA |
$55.12 |
| SALINA WINDSOR SNF OPCO, LLC |
SALINA |
KS |
$0.00 |
| COLLEGE HILLS OPCO, LLC |
WICHITA |
KS |
$0.00 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
42 |
$0.00 |
| 2022 |
46 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90653 |
|
21 |
21 |
$0.00 |
| 90662 |
|
23 |
23 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$0.00 |