Medicaid Provider Spending

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

HEAVENLY ASSISTED LIVING, INC.

NPI: 1407467806 · PORT ORANGE, FL 32127 · Assisted Living Facility · NPI assigned 08/11/2020

$437K
Total Medicaid Paid
262
Total Claims
247
Beneficiaries
2
Codes Billed
2021-12
First Month
2023-09
Last Month

Provider Details

Authorized OfficialFISSIHA, YOHANNES (OWNER)
NPI Enumeration Date08/11/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $4K
2022 131 $236K
2023 117 $196K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2032 Residential care, not otherwise specified (nos), waiver; per month 132 132 $397K
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) 130 115 $39K