Medicaid Provider Spending

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

PORTAGEVILLE HEALTH CARE CENTER, L.L.C.

NPI: 1912453986 · PORTAGEVILLE, MO 63873 · Skilled Nursing Facility · NPI assigned 08/30/2016

$17K
Total Medicaid Paid
1,810
Total Claims
176
Beneficiaries
4
Codes Billed
2019-08
First Month
2024-01
Last Month

Provider Details

Authorized OfficialDESTEFANE, RICHARD (PRESIDENT)
NPI Enumeration Date08/30/2016

Related Entities

Other providers sharing the same authorized official: DESTEFANE, RICHARD

ProviderCityStateTotal Paid
FOUR SEASONS IN HOME SERVICES, LLC CLINTON MO $17.94M
PETTIS COUNTY ASSISTED LIVING, L.L.C. SEDALIA MO $3.34M
CEDARS OF LIBERTY HEALTH CARE CENTER, L.L.C. LIBERTY MO $3.15M
FOUR SEASONS IN HOME SERVICES,LLC CLINTON MO $1.11M
LEVERING REGIONAL HEALTH CARE CENTER, LLC HANNIBAL MO $364K
GREENVILLE HEALTH CARE CENTER, L.L.C. GREENVILLE MO $48K
NATHAN RICHARD HEALTH CARE CENTER, LLC NEVADA MO $26K
FOUR SEASONS IN HOME SERVICES,LLC CLINTON MO $22K
MMA HEALTHCARE OF VIBURNUM, INC. VIBURNUM MO $10K
EDGEWOOD MANOR HEALTH CARE CENTER, L.L.C. RAYTOWN MO $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 205 $2K
2021 149 $1K
2022 141 $1K
2023 1,153 $10K
2024 162 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,085 88 $12K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 521 64 $4K
97535 Self-care/home management training, each 15 minutes 107 12 $961.51
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 97 12 $398.01