EDGEWOOD MANOR HEALTH CARE CENTER, L.L.C.
NPI: 1467072280
· RAYTOWN, MO 64138
· Skilled Nursing Facility
· NPI assigned 04/22/2020
Provider Details
| Authorized Official | DESTEFANE, RICHARD (PRESIDENT) |
| NPI Enumeration Date | 04/22/2020 |
Related Entities
Other providers sharing the same authorized official: DESTEFANE, RICHARD
| Provider | City | State | Total Paid |
|---|
| FOUR SEASONS IN HOME SERVICES, LLC |
CLINTON |
MO |
$17.94M |
| PETTIS COUNTY ASSISTED LIVING, L.L.C. |
SEDALIA |
MO |
$3.34M |
| CEDARS OF LIBERTY HEALTH CARE CENTER, L.L.C. |
LIBERTY |
MO |
$3.15M |
| FOUR SEASONS IN HOME SERVICES,LLC |
CLINTON |
MO |
$1.11M |
| LEVERING REGIONAL HEALTH CARE CENTER, LLC |
HANNIBAL |
MO |
$364K |
| GREENVILLE HEALTH CARE CENTER, L.L.C. |
GREENVILLE |
MO |
$48K |
| NATHAN RICHARD HEALTH CARE CENTER, LLC |
NEVADA |
MO |
$26K |
| FOUR SEASONS IN HOME SERVICES,LLC |
CLINTON |
MO |
$22K |
| PORTAGEVILLE HEALTH CARE CENTER, L.L.C. |
PORTAGEVILLE |
MO |
$17K |
| MMA HEALTHCARE OF VIBURNUM, INC. |
VIBURNUM |
MO |
$10K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
163 |
$2K |
| 2021 |
313 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
302 |
25 |
$4K |
| 97110 |
|
174 |
12 |
$1K |