Supplier
Matulaitis Nursing Home, INC.
Matulaitis Nursing Home, INC. was paid $2K by Medicaid between Apr 2020 and Oct 2021, across 4 billing codes. Its largest line is Q3014, Telehealth originating site facility fee — 57% of everything it billed.
33Billing provider infoMATULAITIS NURSING HOME, INC.
PUTNAM, CT 06260
PUTNAM, CT 06260
33aNPI1093822843assigned 08/25/2006
33bProvider typeNursing Facility Supplies (DME)
28Total paid$2K
24GClaims465
24DCodes billed4
24AFirst – last monthApr 2020 – Oct 2021
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 | |
|---|---|---|---|
| 2020 | 198 | $1K | |
| 2021 | 267 | $854.07 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q3014 | Telehealth originating site facility fee | 57% | 210 | 208 | $1K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 43% | 231 | 13 | $827.42 |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | 12 | $0.00 |
| 90686 | 0% | 12 | 12 | $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 officialLOGAN, JANE (ADMINISTRATOR)