Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › DOVER › PATTY'S HOUSE 4 LLC

PATTY'S HOUSE 4 LLC

NPI: 1922401488 · DOVER, FL 33527 · Assisted Living Facility · NPI assigned 09/29/2014

$20K
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2024-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMAYO, TONYA (OWNER)
NPI Enumeration Date09/29/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 12 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 12 12 $20K