Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Jacksonville › NPI 1568731206
Nursing facility

9355 San Jose Boulevard Operations LLC

9355 San Jose Boulevard Operations LLC was paid $323K by Medicaid between Jan 2018 and Oct 2021, across 7 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 48% of everything it billed.

33Billing provider info9355 SAN JOSE BOULEVARD OPERATIONS LLC
JACKSONVILLE, FL 32257
33aNPI1568731206assigned 12/27/2011
33bProvider typeSkilled Nursing Facility
28Total paid$323K
24GClaims16,492
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Skilled Nursing Facility providers in Florida

Rank by total paid#258 of 685
Median peer was paid$160K
This provider vs. median2.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official USSERY, KENNETH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20182,675$104K
20194,844$83K
20208,396$133K
2021577$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 48% 6,001 431 $154K
97530 Therapeutic activities, direct patient contact, each 15 minutes 28% 5,278 376 $89K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 18% 3,387 355 $59K
97535 Self-care/home management training, each 15 minutes 6.5% 1,597 215 $21K
97116 0% 91 12 $0.00
G0008 Administration of influenza virus vaccine 0% 66 45 $0.00
90688 0% 72 45 $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 officialUSSERY, KENNETH (VP)
Same official

Other billing entities under USSERY, KENNETH

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.