LUCKY STARS ADULT DAY HEALTH CARE CENTER, INC
NPI: 1689133621
· ROWLAND HEIGHTS, CA 91748
· Adult Day Care Clinic/Center
· NPI assigned 03/19/2019
$8.78M
Total Medicaid Paid
Provider Details
| Authorized Official | WANG, TAMMY (ADMINISTRATOR) |
| NPI Enumeration Date | 03/19/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
17,110 |
$1.20M |
| 2022 |
42,669 |
$2.97M |
| 2023 |
37,540 |
$2.68M |
| 2024 |
30,236 |
$1.92M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
126,619 |
8,898 |
$8.71M |
| H2000 |
Comprehensive multidisciplinary evaluation |
909 |
324 |
$67K |
| 80053 |
Comprehensive metabolic panel |
15 |
15 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |