Medicaid Provider Spending

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

NPI: 1992070080 · AURORA, CO 80012 · Assisted Living Facility · NPI assigned 03/21/2012

$102K
Total Medicaid Paid
46
Total Claims
36
Beneficiaries
1
Codes Billed
2024-03
First Month
2024-05
Last Month

Provider Details

Authorized OfficialSUGIARSO, HARIJANTO (PRESIDENT)
NPI Enumeration Date03/21/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 46 $102K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 46 36 $102K