MYRTLE MANOR II, INC.
NPI: 1457568180
· MANCHESTER, NH 03104
· Assisted Living Facility
· NPI assigned 05/16/2007
$716K
Total Medicaid Paid
Provider Details
| Authorized Official | DUMONT, SUZANNE (PRESIDENT) |
| NPI Enumeration Date | 05/16/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
539 |
$244K |
| 2019 |
459 |
$227K |
| 2020 |
315 |
$150K |
| 2021 |
164 |
$95K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
1,477 |
480 |
$716K |