Medicaid Provider Spending

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

2020 ROUTE 23 OPERATING COMPANY LLC

NPI: 1225492705 · WAYNE, NJ 07470 · Skilled Nursing Facility · NPI assigned 04/11/2016

Deactivated NPI · This NPI was deactivated on 12/31/2024. Reactivated 01/09/2025.
$334.56
Total Medicaid Paid
371
Total Claims
100
Beneficiaries
4
Codes Billed
2021-04
First Month
2023-10
Last Month

Provider Details

Authorized OfficialHOOK, GREG (EVP COMPLIANCE)
NPI Enumeration Date04/11/2016

Related Entities

Other providers sharing the same authorized official: HOOK, GREG

ProviderCityStateTotal Paid
120 124 NOYES DRIVE OPERATING COMPANY LLC PARK RIDGE NJ $4.45M
120-124 NOYES DRIVE OPERATING COMPANY LLC PARK RIDGE NJ $2K
1120 ALPS ROAD OPERATING COMPANY LLC WAYNE NJ $77.03

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 103 $334.56
2022 37 $0.00
2023 231 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 103 12 $334.56
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 244 64 $0.00
90756 12 12 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00