NUESTRA CASA LLC
NPI: 1760257315
· WEST SPRINGFIELD, MA 01089
· Adult Day Care Clinic/Center
· NPI assigned 11/22/2023
$845K
Total Medicaid Paid
Provider Details
| Authorized Official | EYDINOV, ALEX (ADMINISTRATOR) |
| NPI Enumeration Date | 11/22/2023 |
Related Entities
Other providers sharing the same authorized official: EYDINOV, ALEX
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
13,721 |
$845K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
5,304 |
562 |
$573K |
| T2003 |
Non-emergency transportation; encounter/trip |
8,283 |
453 |
$236K |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
15 |
15 |
$30K |
| S5101 |
Day care services, adult; per half day |
119 |
91 |
$7K |