LAKE CITY ADULT DAY CARE, INC.
NPI: 1871611889
· LAKE CITY, SC 29560
· Skilled Nursing Facility
· NPI assigned 03/27/2007
$520K
Total Medicaid Paid
Provider Details
| Authorized Official | SAULS, GAIL (OWNER) |
| NPI Enumeration Date | 03/27/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,073 |
$242K |
| 2019 |
6,560 |
$226K |
| 2020 |
1,526 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
7,464 |
493 |
$413K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
7,695 |
497 |
$107K |