19 OBERY STREET OPERATOR LLC
NPI: 1295264679
· PLYMOUTH, MA 02360
· Skilled Nursing Facility
$1.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
66 |
$862.35 |
| 2019 |
1,515 |
$16K |
| 2020 |
4,458 |
$32K |
| 2021 |
3,844 |
$30K |
| 2022 |
2,145 |
$84K |
| 2023 |
7,057 |
$356K |
| 2024 |
10,118 |
$489K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
12,810 |
456 |
$648K |
| S0341 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage |
5,357 |
197 |
$271K |
| 97530 |
|
5,263 |
500 |
$62K |
| 97112 |
|
1,880 |
317 |
$12K |
| 97535 |
|
1,283 |
201 |
$12K |
| 97116 |
|
174 |
24 |
$1K |
| 97110 |
|
2,234 |
296 |
$409.53 |
| 97150 |
|
44 |
13 |
$142.70 |
| G0008 |
Administration of influenza virus vaccine |
54 |
54 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
25 |
25 |
$0.00 |
| 90688 |
|
26 |
26 |
$0.00 |
| 90662 |
|
28 |
28 |
$0.00 |
| 90670 |
|
25 |
25 |
$0.00 |