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ST LUKE'S HOME RESIDENTIAL HEALTH CARE FACILITY INC
ST LUKE'S HOME RESIDENTIAL HEALTH CARE FACILITY INC
NPI: 1548331143
· UTICA, NY 13502
· Skilled Nursing Facility
· NPI assigned 11/13/2006
$139K
Total Medicaid Paid
Provider Details
| Authorized Official | WHITE, CODY (REVENUE CYCLE DIRECTOR) |
| NPI Enumeration Date | 11/13/2006 |
Related Entities
Other providers sharing the same authorized official: WHITE, CODY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
468 |
$75K |
| 2020 |
430 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
898 |
99 |
$139K |