TAVARES VILLAGE RETIREMENT COMMUNITY, LLC
NPI: 1730338179
· TAVARES, FL 32778
· Assisted Living Facility
· NPI assigned 09/10/2008
$1.84M
Total Medicaid Paid
Provider Details
| Authorized Official | NIELSON, KENNETH (MANAGING MEMBER) |
| NPI Enumeration Date | 09/10/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
159 |
$188K |
| 2020 |
250 |
$243K |
| 2021 |
272 |
$316K |
| 2022 |
160 |
$202K |
| 2023 |
324 |
$492K |
| 2024 |
275 |
$400K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
1,199 |
1,118 |
$1.56M |
| 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) |
241 |
238 |
$284K |