Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Pacific Manor LLC

Pacific Manor LLC was paid $4K by Medicaid between Jun 2018 and Oct 2018, across 1 billing code. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 100% of everything it billed.

33Billing provider infoPACIFIC MANOR LLC
PACIFIC, MO 63069
33aNPI1265091755assigned 06/10/2019
33bProvider typeSkilled Nursing Facility
28Total paid$4K
24GClaims449
24DCodes billed1
24AFirst – last monthJun 2018 – Oct 2018
Compared with peers

Next to other Skilled Nursing Facility providers in Missouri

Rank by total paid#176 of 253
Median peer was paid$12K
This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HEDRICK, CARLA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018449$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 100% 449 50 $4K

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 officialHEDRICK, CARLA (CFO)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.