Medicaid Provider Spending

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

4MOONS CARE CENTER LLC

NPI: 1982356580 · LEHIGH ACRES, FL 33971 · Home Health Agency · NPI assigned 01/25/2022

$662K
Total Medicaid Paid
8,718
Total Claims
997
Beneficiaries
3
Codes Billed
2023-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPERDOMO, MISAEL (OWNER, ADMINISTRATOR)
NPI Enumeration Date01/25/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,312 $91K
2024 7,406 $571K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal care services, per 15 minutes, 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) 3,518 315 $295K
S5130 Homemaker service, nos; per 15 minutes 4,078 569 $264K
T1004 Services of a qualified nursing aide, up to 15 minutes 1,122 113 $102K