Nursing facility
265 Essex Street Operating Company, LLC
265 Essex Street Operating Company, LLC was paid $603K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is S0340, Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage — 78% of everything it billed.
33Billing provider info265 ESSEX STREET OPERATING COMPANY, LLC
BEVERLY, MA 01915
BEVERLY, MA 01915
33aNPI1023017951assigned 07/21/2005
33bProvider typeSkilled Nursing Facility
28Total paid$603K
24GClaims21,710
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Skilled Nursing Facility providers in Massachusetts
Rank by total paid#70 of 400
Median peer was paid$58K
This provider vs. median10×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,487 | $37K | |
| 2019 | 2,705 | $33K | |
| 2020 | 1,150 | $13K | |
| 2021 | 1,964 | $19K | |
| 2022 | 1,817 | $45K | |
| 2023 | 4,674 | $175K | |
| 2024incomplete | 5,913 | $280K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0340 | Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage | 78% | 9,576 | 318 | $467K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 20% | 8,922 | 870 | $123K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 547 | 67 | $5K |
| 92526 | <1% | 122 | 12 | $3K | |
| 97542 | <1% | 156 | 53 | $2K | |
| 97161 | <1% | 71 | 51 | $1K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 105 | 37 | $673.03 |
| 97116 | <1% | 72 | 12 | $627.50 | |
| 97165 | <1% | 17 | 14 | $307.50 | |
| 92610 | <1% | 12 | 12 | $284.29 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 1,225 | 187 | $136.13 |
| G8998 | Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting | 0% | 14 | 13 | $0.00 |
9 more codes
| G0008 | Administration of influenza virus vaccine | 0% | 169 | $0.00 |
| G8991 | Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 153 | $0.00 |
| 90480 | 0% | 27 | $0.00 | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 60 | $0.00 |
| G8997 | Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 139 | $0.00 |
| 91322 | 0% | 27 | $0.00 | |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 72 | $0.00 |
| G8990 | Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 131 | $0.00 |
| G8996 | Swallowing functional limitation, current status at therapy episode outset and at reporting intervals | 0% | 93 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLUGO, A. (EXECUTIVE VP & GENERAL COUNSEL)
| Provider | Location | Paid |
|---|---|---|
| Millennium Healthcare Centers, LLC | Paramus, NJ | $61K |
| 800 River Road Operating Company, LLC | New Milford, NJ | $5K |
| 600 Kinderkamack Road Operating Company, LLC | Oradell, NJ | $996.16 |
| King James Care Center of Middletown, LLC | Middletown, NJ | $340.76 |
| Elmwood Evesham Associates, LLC | Marlton, NJ | $242.18 |
| 19 Varnum Street Operating Company, LLC | Lowell, MA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.