Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MENTONE › NICE AVENUE LLC

NICE AVENUE LLC

NPI: 1407243355 · MENTONE, CA 92359 · Skilled Nursing Facility · NPI assigned 04/17/2015

$11K
Total Medicaid Paid
1,865
Total Claims
163
Beneficiaries
5
Codes Billed
2021-04
First Month
2021-06
Last Month

Provider Details

Authorized OfficialPOWELL, STEVEN (PRESIDENT)
NPI Enumeration Date04/17/2015

Related Entities

Other providers sharing the same authorized official: POWELL, STEVEN

ProviderCityStateTotal Paid
CALIMESA OPERATIONS LLC YUCAIPA CA $57K
ACHIEVE BEHAVIORAL HEALTH PA GREENVILLE SC $28K
POWELL SAFETY INCORPORATED ROCKPORT TX $345.95

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,865 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 501 39 $8K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 279 36 $2K
97116 110 12 $1K
97535 Self-care/home management training, each 15 minutes 390 37 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 585 39 $0.00