Nursing facility
Fallbrook Healthcare Center Operating Company, LLC
Fallbrook Healthcare Center Operating Company, LLC was paid $42K by Medicaid between Oct 2021 and Dec 2022, across 3 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 71% of everything it billed.
33Billing provider infoFALLBROOK HEALTHCARE CENTER OPERATING COMPANY, LLC
FALLBROOK, CA 92028
FALLBROOK, CA 92028
33aNPI1265823264assigned 02/11/2015
33bProvider typeSkilled Nursing Facility
28Total paid$42K
24GClaims1,169
24DCodes billed3
24AFirst – last monthOct 2021 – Dec 2022
Compared with peers
Next to other Skilled Nursing Facility providers in California
Rank by total paid#318 of 547
Median peer was paid$73K
This provider vs. median0.6×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 821 | $30K | |
| 2022 | 348 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 71% | 850 | 61 | $30K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 23% | 275 | 36 | $10K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 5.2% | 44 | 12 | $2K |
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 officialKILIAN, JAMES (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Heritage Health Care, INC. | Loma Linda, CA | $2.95M |
| Heritage Health Care, INC. | Loma Linda, CA | $1.34M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.