803 HACIENDA LANE OPERATIONS LLC

NPI: 1134607690 · BLOOMFIELD, NM 87413 · Skilled Nursing Facility · NPI assigned 08/06/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official BERG, MICHAEL controls 20+ related entities in our dataset. Read more

$96K

Total Medicaid Paid

9,604

Total Claims

1,344

Beneficiaries

Codes Billed

2019-01

First Month

2024-10

Last Month

Provider Details

Authorized Official	BERG, MICHAEL (ASSISTANT SECRETARY)
NPI Enumeration Date	08/06/2018

Other providers sharing the same authorized official: BERG, MICHAEL

Provider	City	State	Total Paid
SUNBRIDGE NURSING HOME LLC	EVERETT	WA	$1.31M
SUNBRIDGE CLIPPER HOME OF PORTSMOUTH LLC	PORTSMOUTH	NH	$823K
RIO HONDO SUBACUTE & NURSING CENTER	MONTEBELLO	CA	$625K
SHARON CARE CENTER, LLC	LOS ANGELES	CA	$494K
SUNBRIDGE HEALTHCARE LLC	DECATUR	AL	$308K
ALEXANDRIA CARE CENTER LLC	LOS ANGELES	CA	$271K
BRIER OAK ON SUNSET, LLC	LOS ANGELES	CA	$206K
PEAK MEDICAL ASSISTED LIVING, LLC	LAS CRUCES	NM	$179K
PEAK MEDICAL LAS CRUCES NO. 2, LLC	LAS CRUCES	NM	$155K
1130 SEVENTEENTH AVENUE OPERATIONS LLC	GREAT FALLS	MT	$148K
SUNBRIDGE HEALTHCARE LLC	MERIDIAN	ID	$104K
ALTA CARE CENTER, LLC	GARDEN GROVE	CA	$91K
SUNBRIDGE HEALTHCARE LLC	TUSCUMBIA	AL	$88K
ANAHEIM TERRACE CARE CENTER, LLC	ANAHEIM	CA	$67K
SUNBRIDGE HEALTHCARE LLC	ELMORE	AL	$65K
PEAK MEDICAL NEW MEXICO NO. 3 LLC	RIO RANCHO	NM	$57K
PEAK MEDICAL LAS CRUCES, LLC	LAS CRUCES	NM	$56K
MONTEBELLO CARE CENTER, LLC	MONTEBELLO	CA	$53K
SUNBRIDGE HEALTHCARE LLC	SEATTLE	WA	$52K
HBR DANBURY LLC	DANBURY	CT	$52K

Code	Description	Claims	Beneficiaries	Total Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	5,315	447	$67K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	3,138	322	$22K
Q3014	Telehealth originating site facility fee	886	524	$5K
97116		139	27	$765.46
97535	Self-care/home management training, each 15 minutes	126	24	$730.54