HIDDEN OAKS ALF, INC.
NPI: 1922404771
· JENNINGS, FL 32053
· Assisted Living Facility
· NPI assigned 11/06/2014
$219K
Total Medicaid Paid
Provider Details
| Authorized Official | LAW, WANDA (OWNER, ADMINISTRATOR) |
| Parent Organization | HIDDEN OAKS ALF, INC |
| NPI Enumeration Date | 11/06/2014 |
Related Entities
Other providers sharing the same authorized official: LAW, WANDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
178 |
$58K |
| 2022 |
122 |
$45K |
| 2023 |
282 |
$91K |
| 2024 |
91 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
573 |
469 |
$170K |
| T1017 |
Targeted case management, each 15 minutes |
100 |
78 |
$50K |