Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BOYNTON BEACH
› SUMMERVILLE 15, LLC
SUMMERVILLE 15, LLC
NPI: 1790012482 · BOYNTON BEACH, FL 33472 ·
310400000X
$14K
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2019-09
First Month
2019-09
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
12
$14K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
T2030
Assist living waiver/month
12
12
$14K