LAKE SHORE AFC, LLC
NPI: 1669968129
· GRAWN, MI 49637
· Assisted Living Facility (Behavioral Disturbances)
· NPI assigned 07/09/2018
$735K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHOLTUS, RANDY (ADMINISTRATOR) |
| NPI Enumeration Date | 07/09/2018 |
Related Entities
Other providers sharing the same authorized official: SCHOLTUS, RANDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
158 |
$217K |
| 2020 |
184 |
$328K |
| 2021 |
82 |
$144K |
| 2022 |
30 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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) |
227 |
192 |
$442K |
| H2016 |
Comprehensive community support services, per diem |
227 |
192 |
$293K |