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 · Assisted Living Facility · NPI assigned 10/29/2009

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

Provider Details

Authorized OfficialMUNOZ, ANNA (ASSISTANT SECRETARY)
NPI Enumeration Date10/29/2009

Related Entities

Other providers sharing the same authorized official: MUNOZ, ANNA

ProviderCityStateTotal Paid
FRETUS INVESTORS GLENDALE, LLC GLENDALE AZ $366K
FRETUS INVESTORS CHANDLER, LLC CHANDLER AZ $109K
BROOKDALE SENIOR LIVING COMMUNITIES, INC. BRIGHTON CO $86K
BROOKDALE SENIOR LIVING COMMUNITIES, INC. EDEN PRAIRIE MN $61K

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 83 78 $80K