Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

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

YearClaimsTotal Paid
2019 12 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assist living waiver/month 12 12 $14K