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EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
NPI: 1760814727
· TUCSON, AZ 85712
· Alzheimer Center (Dementia Center)
· NPI assigned 08/01/2013
$519K
Total Medicaid Paid
Provider Details
| Authorized Official | SCHOEN, BRUCE (EX VP/CFO) |
| Parent Organization | EXTENDED CARE PORTFOLIO TENANT, LLC |
| NPI Enumeration Date | 08/01/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$41K |
| 2020 |
34 |
$98K |
| 2022 |
91 |
$227K |
| 2023 |
49 |
$153K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
198 |
194 |
$519K |