Medicaid Provider Spending

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

RASTELLE MANOR

NPI: 1972563526 · DAYTONA BEACH, FL 32114 · Assisted Living Facility · NPI assigned 03/27/2006

$247K
Total Medicaid Paid
226
Total Claims
223
Beneficiaries
2
Codes Billed
2019-01
First Month
2019-08
Last Month

Provider Details

Authorized OfficialBERNABE, WINSTON (OWNER/ADMINISTRATOR)
NPI Enumeration Date03/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 226 $247K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 188 185 $208K
T2030 Assisted living, waiver; per month 38 38 $39K