40 MARTIN STREET OPERATOR LLC
NPI: 1336678630
· MELROSE, MA 02176
· 314000000X
$889K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
70 |
$842.84 |
| 2019 |
157 |
$2K |
| 2020 |
279 |
$4K |
| 2021 |
54 |
$0.00 |
| 2022 |
1,260 |
$57K |
| 2023 |
5,395 |
$248K |
| 2024 |
12,336 |
$577K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0341 |
Lifestyle mod 2 or 3 stage |
10,764 |
368 |
$517K |
| S0340 |
Lifestyle mod 1st stage |
8,201 |
294 |
$365K |
| 97530 |
|
460 |
78 |
$7K |
| 90688 |
|
13 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
44 |
44 |
$0.00 |
| 97110 |
|
54 |
12 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |