STATE OF NEW YORK COMPTROLLERS OFFICE
NPI: 1184621724
· STONY BROOK, NY 11790
· Skilled Nursing Facility
· NPI assigned 06/28/2005
$467K
Total Medicaid Paid
Provider Details
| Authorized Official | SGANGA, FRED (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/28/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,617 |
$296K |
| 2020 |
1,628 |
$170K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
2,706 |
267 |
$376K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,539 |
138 |
$91K |