MOOSEHAVEN INC
NPI: 1831311398
· ORANGE PARK, FL 32073
· Skilled Nursing Facility
· NPI assigned 05/03/2007
$143.86
Total Medicaid Paid
Provider Details
| Authorized Official | CAPES, JOHN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/03/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
36 |
$0.00 |
| 2019 |
48 |
$0.00 |
| 2020 |
120 |
$0.00 |
| 2021 |
144 |
$143.86 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
190 |
24 |
$143.86 |
| 90674 |
|
45 |
31 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
79 |
62 |
$0.00 |
| 90688 |
|
16 |
13 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |