CRYSTAL GEM MANOR
NPI: 1750728812
· CRYSTAL RIVER, FL 34428
· Assisted Living Facility
· NPI assigned 05/30/2013
$1.79M
Total Medicaid Paid
Provider Details
| Authorized Official | HERNANDO, JORGE (OWNER) |
| NPI Enumeration Date | 05/30/2013 |
Related Entities
Other providers sharing the same authorized official: HERNANDO, JORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
206 |
$201K |
| 2020 |
285 |
$310K |
| 2021 |
225 |
$253K |
| 2022 |
390 |
$222K |
| 2023 |
310 |
$431K |
| 2024 |
269 |
$369K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2030 |
Assisted living, waiver; per month |
1,685 |
1,527 |
$1.79M |