GOLDEN AGE PROPERTIES LLC
NPI: 1457752297
· CENTERVILLE, IA 52544
· Skilled Nursing Facility
· NPI assigned 09/11/2014
$187K
Total Medicaid Paid
Provider Details
| Authorized Official | WILKES, JAMES (MANAGING MEMBER) |
| NPI Enumeration Date | 09/11/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
585 |
$126K |
| 2020 |
244 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
166 |
156 |
$104K |
| S5170 |
Home delivered meals, including preparation; per meal |
331 |
156 |
$62K |
| S5125 |
Attendant care services; per 15 minutes |
167 |
156 |
$15K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
165 |
156 |
$5K |