COUNTRY VILLA SOUTH BAY, LLC

NPI: 1447244801 · LONG BEACH, CA 90805 · Skilled Nursing Facility · NPI assigned 08/31/2005

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official REISSMAN, STEPHEN controls 16+ related entities in our dataset. Read more

$79K

Total Medicaid Paid

2,767

Total Claims

233

Beneficiaries

Codes Billed

2018-01

First Month

2019-08

Last Month

Provider Details

Authorized Official	REISSMAN, STEPHEN (TRUSTEE OF MANAGING MEMBER)
NPI Enumeration Date	08/31/2005

Other providers sharing the same authorized official: REISSMAN, STEPHEN

Provider	City	State	Total Paid
COUNTRY VILLA IMPERIAL LLC	LOS ANGELES	CA	$896K
RRT ENTERPRISES LP	LOS ANGELES	CA	$702K
COUNTRY VILLA WESTWOOD, A CA LTD	LOS ANGELES	CA	$389K
COUNTRY VILLA CLAREMONT HEALTHCARE CENTER, INC.	CLAREMONT	CA	$331K
COUNTRY VILLA SOUTH BAY, LLC	LONG BEACH	CA	$319K
COUNTRY VILLA EAST L.P.	LOS ANGELES	CA	$252K
COUNTRY VILLA NURSING CENTER, INC.	LOS ANGELES	CA	$224K
RRT ENTERPRISES LP	LOS ANGELES	CA	$212K
COUNTRY VILLA EAST L.P.	LOS ANGELES	CA	$199K
RRT ENTERPRISES LP	LOS ANGELES	CA	$121K
COUNTRY VILLA EAST, L.P.	LOS ANGELES	CA	$70K
MOUNTAINSIDE OPERATING COMPANY, LLC	SAN BERNARDINO	CA	$34K
COUNTRY VILLA PLAZA, A CA LTD. PARTNERSHIP	SANTA ANA	CA	$24K
RRT ENTERPRISES LP	LOS ANGELES	CA	$4K
COUNTRY VILLA IMPERIAL, LLC	ONTARIO	CA	$2K
COUNTRY VILLA EAST, L.P.	NORTH HILLS	CA	$1K

Year	Claims	Total Paid
2018	1,324	$45K
2019	1,443	$34K

Code	Description	Claims	Beneficiaries	Total Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	1,426	104	$41K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	986	80	$28K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	355	49	$10K