SJ3 OP DIVERS LLC

NPI: 1063134294 · SAINT JOSEPH, MO 64505 · Skilled Nursing Facility · NPI assigned 09/14/2022

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$18K

Total Medicaid Paid

2,412

Total Claims

276

Beneficiaries

Codes Billed

2018-10

First Month

2023-09

Last Month

Provider Details

Authorized Official	GOLDNER, SAMUEL (AUTHORIZED PERSON)
NPI Enumeration Date	09/14/2022

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
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
BLUE RIVER MO CONSULTING LLC	KANSAS CITY	MO	$2K

Year	Claims	Total Paid
2018	151	$1K
2023	2,261	$17K

Code	Description	Claims	Beneficiaries	Total Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	1,054	93	$9K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	661	76	$4K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	477	65	$3K
97116		207	29	$1K
97162		13	13	$189.10