Nursing facility
Five Points Healthcare LTD.
Five Points Healthcare LTD. was paid $1.87M by Medicaid between Jan 2018 and Sep 2022, across 11 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 43% of everything it billed.
33Billing provider infoFIVE POINTS HEALTHCARE LTD.
JACKSONVILLE, FL 32218
JACKSONVILLE, FL 32218
33aNPI1336104975assigned 04/18/2006
33bProvider typeSkilled Nursing Facility
28Total paid$1.87M
24GClaims49,596
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Skilled Nursing Facility providers in Florida
Rank by total paid#67 of 685
Median peer was paid$160K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2018 | 6,048 | $341K | |
| 2019 | 10,266 | $327K | |
| 2020 | 17,008 | $674K | |
| 2021 | 11,199 | $328K | |
| 2022 | 5,075 | $197K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 43% | 21,532 | 1,420 | $806K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 25% | 12,143 | 1,484 | $476K |
| 97535 | Self-care/home management training, each 15 minutes | 9.9% | 4,579 | 632 | $185K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 9.4% | 5,121 | 874 | $175K |
| 97116 | 8.6% | 4,949 | 539 | $160K | |
| 97542 | <1% | 303 | 71 | $19K | |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 221 | 145 | $13K |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 193 | 137 | $12K |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 144 | 91 | $10K |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 102 | 73 | $9K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 309 | 76 | $3K |
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 officialMCDONALD, LANELLE (BUSINESS OFFICE MANAGER)