POLYCLINIC LLC
NPI: 1902073497
· MARLBOROUGH, MA 01752
· Adult Day Care Clinic/Center
· NPI assigned 05/13/2008
$411K
Total Medicaid Paid
Provider Details
| Authorized Official | DASHEVSKY, IZABELLA (PRESIDENT) |
| NPI Enumeration Date | 05/13/2008 |
Related Entities
Other providers sharing the same authorized official: DASHEVSKY, IZABELLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,464 |
$411K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
3,596 |
343 |
$259K |
| T2003 |
Non-emergency transportation; encounter/trip |
6,590 |
341 |
$139K |
| S5100 |
Day care services, adult; per 15 minutes |
278 |
151 |
$14K |