WATERMARK BOCA CIEGA BAY, LLC
NPI: 1790100501
· SOUTH PASADENA, FL 33707
· Assisted Living Facility
· NPI assigned 03/03/2014
$598K
Total Medicaid Paid
Provider Details
| Authorized Official | FRESHWATER, DAVID (VP, ASST TREASURER, ASST SECRETARY) |
| NPI Enumeration Date | 03/03/2014 |
Related Entities
Other providers sharing the same authorized official: FRESHWATER, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
155 |
$158K |
| 2020 |
189 |
$197K |
| 2021 |
158 |
$177K |
| 2022 |
112 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2030 |
Assisted living, waiver; per month |
614 |
613 |
$598K |