1530 BROAD AVENUE OPERATIONS, LLC
NPI: 1306593900
· GULFPORT, MS 39501
· Skilled Nursing Facility
· NPI assigned 03/04/2022
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | LEHNER, TIM (MANAGER) |
| NPI Enumeration Date | 03/04/2022 |
Related Entities
Other providers sharing the same authorized official: LEHNER, TIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
9,215 |
$27K |
| 2023 |
7,798 |
$47K |
| 2024 |
3,744 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
9,152 |
514 |
$55K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,465 |
468 |
$25K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,515 |
325 |
$12K |
| 97535 |
Self-care/home management training, each 15 minutes |
2,078 |
257 |
$9K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
1,547 |
282 |
$3K |