BEAUMONT WARDS LANE TRUST
NPI: 1033106356
· NORTHBRIDGE, MA 01534
· Skilled Nursing Facility
· NPI assigned 10/03/2005
$1.17M
Total Medicaid Paid
Provider Details
| Authorized Official | SACON, GARY (CFO) |
| NPI Enumeration Date | 10/03/2005 |
Related Entities
Other providers sharing the same authorized official: SACON, GARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14,125 |
$455K |
| 2019 |
14,846 |
$499K |
| 2020 |
4,781 |
$212K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
12,549 |
836 |
$829K |
| T2003 |
Non-emergency transportation; encounter/trip |
20,843 |
717 |
$315K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
188 |
39 |
$14K |
| S5100 |
Day care services, adult; per 15 minutes |
114 |
25 |
$6K |
| 90686 |
|
29 |
29 |
$551.87 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$515.62 |