Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WOODHAVEN ADULT HOME, LLC

NPI: 1609998681 · PORT JEFFERSON STATION, NY 11776 · Assisted Living Facility · NPI assigned 04/03/2007

$49K
Total Medicaid Paid
11,751
Total Claims
731
Beneficiaries
3
Codes Billed
2024-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAUL, KENNETH (SOLE MEMBER)
NPI Enumeration Date04/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 11,751 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 328 12 $49K
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 350 348 $1.08
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 11,073 371 $0.00