Agency
Pavilion at Piketon for Nursing and Rehabilitation LLC
Pavilion at Piketon for Nursing and Rehabilitation LLC was paid $7K by Medicaid between Dec 2018 and Dec 2022, across 12 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 51% of everything it billed.
33Billing provider infoPAVILION AT PIKETON FOR NURSING AND REHABILITATION LLC
PIKETON, OH 45661
PIKETON, OH 45661
33aNPI1598260952assigned 03/28/2018
33bProvider typeNursing Care Agency
28Total paid$7K
24GClaims67,237
24DCodes billed12
24AFirst – last monthDec 2018 – Dec 2022
Compared with peers
Next to other Nursing Care Agency providers in Ohio
Rank by total paid#15 of 16
Median peer was paid$246K
This provider vs. median0.0×
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.
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 | 2,079 | $0.00 | |
| 2019 | 17,339 | $0.00 | |
| 2020 | 18,746 | $0.00 | |
| 2021 | 16,500 | $0.00 | |
| 2022 | 12,573 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 51% | 28,215 | 1,145 | $3K |
| 97535 | Self-care/home management training, each 15 minutes | 49% | 6,718 | 964 | $3K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 21,072 | 1,084 | $0.00 |
| 97116 | 0% | 2,281 | 229 | $0.00 | |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 141 | 82 | $0.00 |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 0% | 18 | 12 | $0.00 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 110 | 70 | $0.00 |
| 97166 | 0% | 107 | 104 | $0.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 8,226 | 900 | $0.00 |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 125 | 84 | $0.00 |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 212 | 109 | $0.00 |
| 97162 | 0% | 12 | 12 | $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 officialMOERMAN, RAFAEL (MANAGING MEMBER)
| Provider | Location | Paid |
|---|---|---|
| CT Ohio Dayton-Centerville LLC | Dayton, OH | $3.28M |
| CT Ohio Dayton-Centerville LLC | Dayton, OH | $159K |
| The Pavilion at Jacksonville for Nursing and Rehabilitation, LLC | Jacksonville, FL | $80K |
| CT Ohio Portsmouth LLC | Portsmouth, OH | $1K |
| The Pavilion at Crescent Lake for Nursing and Rehabilitation, LLC | Crescent City, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.