Medicaid Provider Spending

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

THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION, LLC

NPI: 1063097921 · JACKSONVILLE, FL 32208 · Skilled Nursing Facility · NPI assigned 03/12/2021

$80K
Total Medicaid Paid
8,115
Total Claims
723
Beneficiaries
6
Codes Billed
2021-05
First Month
2023-03
Last Month

Provider Details

Authorized OfficialMOERMAN, RAFAEL (MANAGING MEMBER)
NPI Enumeration Date03/12/2021

Related Entities

Other providers sharing the same authorized official: MOERMAN, RAFAEL

ProviderCityStateTotal Paid
CT OHIO DAYTON-CENTERVILLE LLC DAYTON OH $3.28M
CT OHIO DAYTON-CENTERVILLE LLC DAYTON OH $159K
PAVILION AT PIKETON FOR NURSING AND REHABILITATION LLC PIKETON OH $7K
CT OHIO PORTSMOUTH LLC PORTSMOUTH OH $1K
THE PAVILION AT CRESCENT LAKE FOR NURSING AND REHABILITATION, LLC CRESCENT CITY FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,439 $19K
2022 3,629 $54K
2023 1,047 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,737 227 $60K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,375 249 $11K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,425 145 $8K
97535 Self-care/home management training, each 15 minutes 500 52 $2K
G0008 Administration of influenza virus vaccine 40 26 $0.00
90694 38 24 $0.00