Medicaid Provider Spending

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

PACIFIC MANOR LLC

NPI: 1265091755 · PACIFIC, MO 63069 · Skilled Nursing Facility · NPI assigned 06/10/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HEDRICK, CARLA controls 20+ related entities in our dataset. Read more

$4K
Total Medicaid Paid
449
Total Claims
50
Beneficiaries
1
Codes Billed
2018-06
First Month
2018-10
Last Month

Provider Details

Authorized OfficialHEDRICK, CARLA (CFO)
NPI Enumeration Date06/10/2019

Related Entities

Other providers sharing the same authorized official: HEDRICK, CARLA

ProviderCityStateTotal Paid
N & R OF LINCOLN COUNTY, INC. TROY MO $65K
N & R OF TROY LLC TROY MO $55K
N & R OF FARMINGTON, LLC FARMINGTON MO $37K
N & R OF NEW MADRID LLC NEW MADRID MO $30K
N & R OF ANDERSON LLC ANDERSON MO $20K
N & R OF DEXTER, INC. DEXTER MO $17K
N & R OF ST CHARLES LLC SAINT CHARLES MO $13K
N & R OF HOLLISTER, LLC HOLLISTER MO $12K
WASHINGTON N & R, LLC WASHINGTON MO $12K
N & R OF MAYSVILLE, LLC MAYSVILLE MO $10K
N & R OF ST JAMES LLC SAINT JAMES MO $10K
N & R OF LEBANON SOUTH LLC LEBANON MO $7K
N & R OF ELDON, INC. ELDON MO $7K
NM OF NASHUA LLC KANSAS CITY MO $4K
N & R OF WARRENTON INC WRIGHT CITY MO $4K
N & R OF LEBANON NORTH LLC LEBANON MO $4K
POTOSI MANOR, INC. POTOSI MO $3K
N & R OF BRANSON LLC BRANSON MO $2K
N & R OF SWEET SPRINGS, INC. SWEET SPRINGS MO $2K
N & R OF FREDERICKTOWN, INC. FREDERICKTOWN MO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 449 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 449 50 $4K