Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EXTENDED CARE PORTFOLIO TENANT, LLC

NPI: 1912330424 · TALLAHASSEE, FL 32303 · Assisted Living Facility · NPI assigned 08/20/2013

$194K
Total Medicaid Paid
297
Total Claims
252
Beneficiaries
1
Codes Billed
2022-04
First Month
2023-10
Last Month

Provider Details

Authorized OfficialEDWARDS, TERESA (MANAGER)
NPI Enumeration Date08/20/2013

Related Entities

Other providers sharing the same authorized official: EDWARDS, TERESA

ProviderCityStateTotal Paid
SENTARA ENTERPRISES CHESAPEAKE VA $12.45M
SENTARA ENTERPRISES CHARLOTTESVILLE VA $183K
SENTARA ENTERPRISES DUMFRIES VA $123K
SENTARA ENTERPRISES SUFFOLK VA $73K
SENTARA ENTERPRISES NEWPORT NEWS VA $72K
SENTARA ENTERPRISES SOUTH BOSTON VA $43K
SENTARA ENTERPRISES LOW MOOR VA $27K
SENTARA ENTERPRISES WILLIAMSBURG VA $12K
BLUE RIDGE MT. VOLUNTEER FIRE CO. HARPERS FERRY WV $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 156 $147K
2023 141 $46K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 297 252 $194K