Nursing facility
Essex Pavilion, LLC
Essex Pavilion, LLC was paid $78K by Medicaid between Feb 2018 and Sep 2024, across 8 billing codes. Its largest line is S0340, Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage — 93% of everything it billed.
33Billing provider infoESSEX PAVILION, LLC
HYANNIS, MA 02601
HYANNIS, MA 02601
33aNPI1447233945assigned 11/29/2005
33bProvider typeSkilled Nursing Facility
28Total paid$78K
24GClaims645
24DCodes billed8
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other Skilled Nursing Facility providers in Massachusetts
Rank by total paid#184 of 400
Median peer was paid$58K
This provider vs. median1.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 229 | $4K | |
| 2019 | 34 | $0.00 | |
| 2023 | 134 | $1K | |
| 2024incomplete | 248 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0340 | Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage | 93% | 58 | 50 | $72K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 6.8% | 340 | 48 | $5K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 94 | 12 | $350.32 |
| G0008 | Administration of influenza virus vaccine | 0% | 68 | 68 | $0.00 |
| 90480 | 0% | 18 | 18 | $0.00 | |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 15 | 15 | $0.00 |
| 90756 | 0% | 35 | 35 | $0.00 | |
| 90685 | 0% | 17 | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBENOIT, MARY (SENIOR ADMINISTRATOR)