YMP GRAND COURT LAKES OPCO LLC
NPI: 1619566130
· MIAMI, FL 33179
· Assisted Living Facility
· NPI assigned 01/11/2021
$244K
Total Medicaid Paid
Provider Details
| Authorized Official | POTTER, SAMUEL (PRESIDENT) |
| NPI Enumeration Date | 01/11/2021 |
Related Entities
Other providers sharing the same authorized official: POTTER, SAMUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
255 |
$223K |
| 2022 |
15 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
270 |
251 |
$244K |