Nursing facility
Carlton Shores NH LLC
Carlton Shores NH LLC was paid $625K by Medicaid between Apr 2018 and Feb 2023, across 10 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 45% of everything it billed.
33Billing provider infoCARLTON SHORES NH LLC
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
33aNPI1588986368assigned 02/22/2010
33bProvider typeAssisted Living Facility
28Total paid$625K
24GClaims21,505
24DCodes billed10
24AFirst – last monthApr 2018 – Feb 2023
Compared with peers
Next to other Assisted Living Facility providers in Florida
Rank by total paid#350 of 674
Median peer was paid$673K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2018 | 555 | $24K | |
| 2019 | 4,140 | $87K | |
| 2020 | 6,551 | $436K | |
| 2021 | 4,768 | $17K | |
| 2022 | 4,458 | $51K | |
| 2023 | 1,033 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 45% | 10,024 | 860 | $283K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 41% | 9,093 | 789 | $257K |
| 97535 | Self-care/home management training, each 15 minutes | 9.7% | 725 | 100 | $61K |
| 97116 | 3.8% | 1,531 | 158 | $24K | |
| 97161 | <1% | 25 | 14 | $240.25 | |
| G8982 | Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 16 | 14 | $213.94 |
| G8981 | Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 13 | 12 | $213.94 |
| 97162 | <1% | 21 | 14 | $117.40 | |
| 97166 | <1% | 30 | 20 | $19.88 | |
| G0008 | Administration of influenza virus vaccine | 0% | 27 | 21 | $0.00 |
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 officialMANDO, WILLIAM (CFO)
| Provider | Location | Paid |
|---|---|---|
| Springs of Lady Lake Alf, LLC | Lady Lake, FL | $1.94M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.