Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › PORT CHARLOTTE › NIC 4 ROYAL PALM LEASING LLC

NIC 4 ROYAL PALM LEASING LLC

NPI: 1619318219 · PORT CHARLOTTE, FL 33952 · Assisted Living Facility · NPI assigned 07/11/2013

$516K
Total Medicaid Paid
468
Total Claims
452
Beneficiaries
1
Codes Billed
2018-08
First Month
2020-01
Last Month

Provider Details

Authorized OfficialRYU, JANE (PRESIDENT/CEO/CFO)
NPI Enumeration Date07/11/2013

Related Entities

Other providers sharing the same authorized official: RYU, JANE

ProviderCityStateTotal Paid
NIC 4 VILLAGE PLACE LEASING LLC PORT CHARLOTTE FL $244K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 37 $39K
2019 408 $452K
2020 23 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 468 452 $516K