BLOOMER NURSING AND REHAB LLC
NPI: 1346890076
· BLOOMER, WI 54724
· Skilled Nursing Facility
· NPI assigned 09/15/2019
$407.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PUKSHANSKY, ROSTISLAV
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
34 |
$407.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
17 |
12 |
$286.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
17 |
12 |
$121.00 |