1200 SUFFIELD STREET OPERATOR LLC

NPI: 1437675527 · AGAWAM, MA 01001 · Skilled Nursing Facility · NPI assigned 08/21/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official STEPHAN, WILLIAM controls 20+ related entities in our dataset. Read more

$34K

Total Medicaid Paid

6,646

Total Claims

863

Beneficiaries

Codes Billed

2018-03

First Month

2021-04

Last Month

Provider Details

Authorized Official	STEPHAN, WILLIAM (CFO)
NPI Enumeration Date	08/21/2017

Other providers sharing the same authorized official: STEPHAN, WILLIAM

Provider	City	State	Total Paid
1748 HIGHLAND AVENUE OPERATOR LLC	FALL RIVER	MA	$1.74M
1199 JOHN FITCH HIGHWAY OPERATOR, LLC	FITCHBURG	MA	$1.70M
460 WASHINGTON STREET OPERATOR LLC	NORWOOD	MA	$1.61M
383 MILL STREET OPERATOR LLC	WORCESTER	MA	$1.13M
8 COLONIAL DRIVE OPERATOR LLC	WESTBOROUGH	MA	$1.02M
19 OBERY STREET OPERATOR LLC	PLYMOUTH	MA	$1.01M
40 MARTIN STREET OPERATOR LLC	MELROSE	MA	$889K
193 PLEASANT STREET OPERATOR LLC	ATTLEBORO	MA	$613K
1102 WASHINGTON STREET OPERATOR LLC	BRAINTREE	MA	$483K
76 NORTH STREET OPERATOR LLC	MIDDLEBORO	MA	$470K
120 MAIN STREET OPERATOR LLC	MALDEN	MA	$429K
620A LAUREL STREET OPERATOR LLC	LEE	MA	$371K
25 ARMORY STREET OPERATOR LLC	WEST NEWTON	MA	$351K
ONE LOVE LANE OPERATOR LLC	SOUTH DENNIS	MA	$226K
50 INDIAN NECK ROAD OPERATOR LLC	WAREHAM	MA	$134K
146 DEAN STREET OPERATOR LLC	TAUNTON	MA	$110K
160 MAIN STREET OPERATOR LLC	WALPOLE	MA	$67K
27 GEORGE STREET OPERATOR LLC	ATTLEBORO	MA	$62K
55 HARRIS ROAD OPERATOR LLC	NASHUA	NH	$39K
1007 EAST STREET OPERATOR LLC	DEDHAM	MA	$5K

Code	Description	Claims	Beneficiaries	Total Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	2,524	304	$26K
97116		530	61	$4K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	500	104	$4K
97535	Self-care/home management training, each 15 minutes	62	12	$661.17
97162		13	12	$173.13
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	2,922	307	$83.46
G8978	Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals	30	16	$0.00
G8979	Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	35	17	$0.00
90756		15	15	$0.00
G0008	Administration of influenza virus vaccine	15	15	$0.00