Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › PUEBLO › GOLDEN GATE MANOR INC

GOLDEN GATE MANOR INC

NPI: 1437738093 · PUEBLO, CO 81004 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/02/2021

$6K
Total Medicaid Paid
477
Total Claims
461
Beneficiaries
4
Codes Billed
2024-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARRIMAN, MARK (PRESIDENT)
Parent OrganizationGOLDEN GATE MANOR INC
NPI Enumeration Date04/02/2021

Related Entities

Other providers sharing the same authorized official: HARRIMAN, MARK

ProviderCityStateTotal Paid
GOLDEN GATE MANOR PUEBLO CO $2.64M
GOLDEN GATE MANOR INC PUEBLO CO $1.99M
GOLDEN GATE MANOR INC PUEBLO CO $1.98M
GOLDEN GATE MANOR INC PUEBLO CO $1.18M
GOLDEN GATE MANOR INC PUEBLO CO $98K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 477 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4927 Gloves, non-sterile, per 100 103 99 $3K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 111 108 $1K
A4245 Alcohol wipes, per box 153 147 $1K
A4259 Lancets, per box of 100 110 107 $113.25