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57 OLD ROAD TO NINE ACRE CORNER OPERATING COMPANY, LLC
57 OLD ROAD TO NINE ACRE CORNER OPERATING COMPANY, LLC
NPI: 1295734911
· CONCORD, MA 01742
· 314000000X
$101K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
241 |
$3K |
| 2020 |
77 |
$969.53 |
| 2021 |
94 |
$934.54 |
| 2022 |
1,142 |
$38K |
| 2023 |
24 |
$0.00 |
| 2024 |
1,209 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0340 |
Lifestyle mod 1st stage |
1,541 |
51 |
$77K |
| A0130 |
Noner transport wheelch van |
336 |
146 |
$14K |
| 97530 |
|
445 |
61 |
$6K |
| S0215 |
Nonemerg transp mileage |
336 |
146 |
$5K |
| Q2039 |
Influenza virus vaccine, nos |
61 |
61 |
$0.00 |
| G0008 |
Admin influenza virus vac |
68 |
68 |
$0.00 |