PGN OP PARK LLC

NPI: 1063026755 · EDGERTON, OH 43517 · Skilled Nursing Facility · NPI assigned 09/01/2020

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official GOLDNER, SAMUEL controls 20+ related entities in our dataset. Read more

$0.00

Total Medicaid Paid

6,316

Total Claims

468

Beneficiaries

Codes Billed

2020-12

First Month

2021-09

Last Month

Provider Details

Authorized Official	GOLDNER, SAMUEL (AUTHORIZED OFFICIAL)
NPI Enumeration Date	09/01/2020

Other providers sharing the same authorized official: GOLDNER, SAMUEL

Provider	City	State	Total Paid
PGN OP SUMMIT LLC	COLUMBUS	OH	$1.41M
SRZ OP AUTUMN LLC	RAYTOWN	MO	$113K
INDEPENDENCE MO CONSULTING LLC	INDEPENDENCE	MO	$83K
TANDC OP LLC	TOWN AND COUNTRY	MO	$69K
LHW OP LLC	LIBERTY	MO	$57K
SRZ OP ROLLA LLC	ROLLA	MO	$55K
SRZ OP FRONTIER LLC	SAINT CHARLES	MO	$44K
SIRO OP OAKWOOD LLC	NORMANDY	MO	$38K
CARMEL HILLS MO CONSULTING LLC	INDEPENDENCE	MO	$32K
SRZ OP ASHTON LLC	LIBERTY	MO	$31K
SRZ OP MEADOW VIEW LLC	HARRISONVILLE	MO	$27K
ABBEY WOODS OPERATIONS LLC	SAINT JOSEPH	MO	$20K
SJ3 OP DIVERS LLC	SAINT JOSEPH	MO	$18K
SRZ OP RIVERBEND LLC	LEXINGTON	MO	$8K
PREST OP LLC	UNION GAP	WA	$4K
SRZ OP VALLEY VIEW LLC	MOBERLY	MO	$3K
SIRO OP ROYAL OAK LLC	SAINT LOUIS	MO	$3K
KANSAS CITY SOUTH MO CONSULTING LLC	KANSAS CITY	MO	$3K
SJ3 OP CHATEAU LLC	SAINT JOSEPH	MO	$2K
RAYMORE MO CONSULTING LLC	RAYMORE	MO	$2K

Year	Claims	Total Paid
2020	470	$0.00
2021	5,846	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	2,303	150	$0.00
97535	Self-care/home management training, each 15 minutes	361	55	$0.00
97166		15	15	$0.00
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	266	63	$0.00
97530	Therapeutic activities, direct patient contact, each 15 minutes	3,074	161	$0.00
97116		297	24	$0.00