GUADALUPE COUNTY HOSPITAL BOARD

NPI: 1376903575 · NEW BRAUNFELS, TX 78130 · Skilled Nursing Facility · NPI assigned 03/01/2016

$650.75

Total Medicaid Paid

32,875

Total Claims

4,017

Beneficiaries

Codes Billed

2020-10

First Month

2024-05

Last Month

Provider Details

Authorized Official	BURNAM, SOON (TREASURER OF MANAGEMENT COMPANY)
NPI Enumeration Date	03/01/2016

Other providers sharing the same authorized official: BURNAM, SOON

Provider	City	State	Total Paid
WINDSOR LAKE HEALTHCARE, INC.	AURORA	CO	$12.91M
SOUTHLAND MANAGEMENT LLC	NORWALK	CA	$6.68M
MARION HEALTH ASSOCIATES, INC.	ENGLEWOOD	CO	$5.11M
EMPIRECARE HEALTH ASSOCIATES LLC	RIVERSIDE	CA	$4.18M
SOUTHLAND MANAGMENT LLC	NORWALK	CA	$2.38M
ENSIGN WHITTIER EAST LLC	WHITTIER	CA	$2.03M
ENSIGN PANORAMA LLC	PANORAMA CITY	CA	$1.90M
ENSIGN WHITTIER WEST LLC	WHITTIER	CA	$1.67M
DOWNEY COMMUNITY CARE LLC	DOWNEY	CA	$991K
ATLANTIC MEMORIAL HEALTHCARE ASSOCIATES, INC.	LONG BEACH	CA	$730K
UPLAND COMMUNITY CARE, INC	UPLAND	CA	$675K
ENSIGN SAN DIMAS LLC	GLENDORA	CA	$608K
CHATEAU JULIA HEALTHCARE, INC.	ENGLEWOOD	CO	$584K
HB HEALTHCARE ASSOCIATES LLC	HUNTINGTON BEACH	CA	$448K
LEMON GROVE HEALTH ASSOCIATES LLC	LEMON GROVE	CA	$437K
CAMARILLO COMMUNITY CARE, INC.	CAMARILLO	CA	$433K
VICTORIA VENTURA HEALTHCARE LLC	VENTURA	CA	$367K
CLAREMONT FOOTHILLS HEALTH ASSOCIATES LLC	POMONA	CA	$330K
GATE THREE HEALTHCARE LLC	LAGUNA HILLS	CA	$301K
POCATELLO HEALTH SERVICES, INC.	POCATELLO	ID	$247K

Code	Description	Claims	Beneficiaries	Total Paid
97530		2,844	390	$380.04
97110		15,250	1,319	$98.61
97116		3,945	684	$90.36
Q3014	Telehealth originating site facility fee	42	12	$81.74
97535		35	12	$0.00
97112		10,037	1,280	$0.00
90674		35	35	$0.00
97140		268	51	$0.00
G0008	Administration of influenza virus vaccine	89	89	$0.00
90686		55	55	$0.00
97150		275	90	$0.00