Medicaid Provider Spending

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

PENALI MANOR LLC

NPI: 1720535495 · CHANDLER, AZ 85226 · Assisted Living Facility (Mental Illness) · NPI assigned 09/09/2016

$12K
Total Medicaid Paid
18
Total Claims
12
Beneficiaries
1
Codes Billed
2022-08
First Month
2022-08
Last Month

Provider Details

Authorized OfficialNYALITA, PEGGY (ADMINISTRATOR)
NPI Enumeration Date09/09/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 18 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 18 12 $12K