SYRACUSE ASSISTED LIVING PHASE I
NPI: 1750775235
· SYRACUSE, UT 84075
· Assisted Living Facility
· NPI assigned 03/24/2015
$990K
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, ANDRIA (ADMINISTRATOR) |
| NPI Enumeration Date | 03/24/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
75 |
$142K |
| 2019 |
54 |
$105K |
| 2020 |
184 |
$349K |
| 2021 |
192 |
$311K |
| 2022 |
24 |
$26K |
| 2024 |
24 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
553 |
485 |
$990K |