EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
NPI: 1801295894
· SALT LAKE CITY, UT 84107
· 310400000X
$1.20M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
291 |
$422K |
| 2019 |
186 |
$325K |
| 2020 |
178 |
$331K |
| 2021 |
82 |
$122K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assist living waiver/diem |
725 |
583 |
$1.20M |
| T2030 |
Assist living waiver/month |
12 |
12 |
$0.00 |