Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › LAKE CITY › LAKE CITY MGT LLC

LAKE CITY MGT LLC

NPI: 1750365706 · LAKE CITY, FL 32025 · Skilled Nursing Facility · NPI assigned 12/02/2005

$615K
Total Medicaid Paid
19,665
Total Claims
668
Beneficiaries
4
Codes Billed
2018-10
First Month
2021-07
Last Month

Provider Details

Authorized OfficialHERZOG, LAVERN (PRESIDENT)
NPI Enumeration Date12/02/2005

Related Entities

Other providers sharing the same authorized official: HERZOG, LAVERN

ProviderCityStateTotal Paid
PORT ST. LUCIE MGT LLC PORT SAINT LUCIE FL $605K
SALEM VILLAGES INCORPORATED HOLLY POINT PROPERTIES INC TAMPA FL $30K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 786 $3K
2019 5,721 $199K
2020 11,132 $224K
2021 2,026 $189K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 12,823 319 $353K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,777 289 $262K
G0008 Administration of influenza virus vaccine 32 30 $0.00
90756 33 30 $0.00