BRIDE BROOK SNF OPERATIONS LLC

NPI: 1477273738 · NIANTIC, CT 06357 · Skilled Nursing Facility · NPI assigned 08/29/2022

$61K

Total Medicaid Paid

6,263

Total Claims

896

Beneficiaries

Codes Billed

2023-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	BAK, PINCHOS (AUTHORIZED OFFICIAL)
NPI Enumeration Date	08/29/2022

Other providers sharing the same authorized official: BAK, PINCHOS

Provider	City	State	Total Paid
PENDLETON SNF OPERATIONS LLC	MYSTIC	CT	$15K
VERNON MANOR SNF OPERATIONS LLC	VERNON	CT	$2K
GARDENVIEW OPCO LLC	WILLIAMSTOWN	NJ	$2K
HAZEL STREET OPERATIONS LLC	CLIFTON	NJ	$825.11
CRANFORD SNF LLC	CRANFORD	NJ	$696.19
MYSTIC MEADOWS SNF LLC	LITTLE EGG HARBOR TWP	NJ	$483.82
CINNAMINSON NURSING LLC	CINNAMINSON	NJ	$358.25
RIVER'S EDGE SNF LLC	RARITAN	NJ	$57.44

Year	Claims	Total Paid
2023	3,639	$34K
2024	2,624	$27K

Code	Description	Claims	Beneficiaries	Total Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	4,084	392	$45K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	1,127	233	$9K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	407	116	$3K
97116		397	50	$3K
97535	Self-care/home management training, each 15 minutes	180	41	$2K
90688		34	32	$0.00
G0008	Administration of influenza virus vaccine	34	32	$0.00