Nursing facility
1001 Old Tomoka LLC
1001 Old Tomoka LLC was paid $19K by Medicaid between Feb 2024 and Feb 2024, across 1 billing code. Its largest line is T2030, Assisted living, waiver; per month — 100% of everything it billed.
33Billing provider info1001 OLD TOMOKA LLC
ORMOND BEACH, FL 32174
ORMOND BEACH, FL 32174
33aNPI1538580923assigned 01/02/2014
33bProvider typeAssisted Living Facility
28Total paid$19K
24GClaims16
24DCodes billed1
24AFirst – last monthFeb 2024 – Feb 2024
Compared with peers
Next to other Assisted Living Facility providers in Florida
Rank by total paid#621 of 674
Median peer was paid$673K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 16 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 100% | 16 | 12 | $19K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHARON, SHOSHANA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| 30 Forest CT, LLC | Ormond Beach, FL | $701K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.