Medicaid Provider Spending

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

VINTAGE GRACE

NPI: 1700902590 · DERRY, NH 03038 · PACE Provider Organization · NPI assigned 03/22/2007

$349K
Total Medicaid Paid
1,379
Total Claims
311
Beneficiaries
1
Codes Billed
2018-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialBIZEUR, AMY (DIRECTOR)
NPI Enumeration Date03/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 888 $238K
2019 491 $111K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Day care services, adult; per diem 1,379 311 $349K