HERITAGE VILLAGE BLDG 7
NPI: 1487203543
· MESA, AZ 85207
· Assisted Living Facility
· NPI assigned 09/10/2019
$425K
Total Medicaid Paid
Provider Details
| Authorized Official | PORTER, NATE (REGIONAL DIRECTOR) |
| NPI Enumeration Date | 09/10/2019 |
Related Entities
Other providers sharing the same authorized official: PORTER, NATE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
38 |
$77K |
| 2022 |
66 |
$131K |
| 2023 |
98 |
$216K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
202 |
196 |
$425K |