ST. JOSEPH MANOR HEALTH CARE, INC.
NPI: 1275515439
· BROCKTON, MA 02302
· Nursing Facility/Intermediate Care Facility
· NPI assigned 11/15/2005
$1.43M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
19,441 |
$595K |
| 2019 |
19,120 |
$631K |
| 2020 |
5,130 |
$205K |
| 2023 |
40 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
14,705 |
1,019 |
$905K |
| T2003 |
Non-emergency transportation; encounter/trip |
27,024 |
921 |
$428K |
| S5100 |
Day care services, adult; per 15 minutes |
1,850 |
533 |
$97K |
| 90756 |
|
20 |
20 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
61 |
44 |
$0.00 |
| 90732 |
|
15 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
13 |
$0.00 |
| 90688 |
|
41 |
24 |
$0.00 |