Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › ST AUGUSTINE › SUMMERVILLE AT ST. AUGUSTINE, LLC

SUMMERVILLE AT ST. AUGUSTINE, LLC

NPI: 1902132749 · ST AUGUSTINE, FL 32086 · 310400000X

$80K
Total Medicaid Paid
83
Total Claims
78
Beneficiaries
1
Codes Billed
2019-08
First Month
2020-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 68 $68K
2020 15 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assist living waiver/month 83 78 $80K