THE BAY AT COLONIAL MANOR HEALTH AND REHABILITATION LLC

NPI: 1528593399 · WAUSAU, WI 54403 · Skilled Nursing Facility · NPI assigned 04/28/2017

$2K

Total Medicaid Paid

289

Total Claims

Beneficiaries

Codes Billed

2018-03

First Month

2018-05

Last Month

Provider Details

Authorized Official	RUVEL, MENACHEM (MANAGER)
NPI Enumeration Date	04/28/2017

Other providers sharing the same authorized official: RUVEL, MENACHEM

Provider	City	State	Total Paid
THE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC	BURLINGTON	WI	$18K
THE BAY AT WATERS EDGE HEALTH AND REHABILITATION LLC	KENOSHA	WI	$9K
BAY AT SURING HEALTH AND REHABILITATION CENTER LLC	SURING	WI	$5K
THE BAY AT SHERIDAN HEALTH AND REHABILITATION LLC	KENOSHA	WI	$4K
THE BAY AT NORTH RIDGE HEALTH AND REHABILITATION LLC	MANITOWOC	WI	$4K
THE BAY AT EASTVIEW HEALTH AND REHABILITATION LLC	ANTIGO	WI	$2K
BAY AT BELMONT HEALTH AND REHABILITATION CENTER LLC	MADISON	WI	$2K
MNH OPCO LLC	MANAHAWKIN	NJ	$0.00
THE BAY AT HIGHLANDS HEALTH AND REHABILITATION CENTER LLC	MEMPHIS	TN	$0.00

Year	Claims	Total Paid
2018	289	$2K

Code	Description	Claims	Beneficiaries	Total Paid
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	144	40	$1K
S0215	Non-emergency transportation; mileage, per mile	145	40	$761.10