BETHANY ON THE LAKE LLC

NPI: 1609380500 · ALEXANDRIA, MN 56308 · Skilled Nursing Facility · NPI assigned 11/30/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official LEGUM, JOSHUA controls 20+ related entities in our dataset. Read more

$29K

Total Medicaid Paid

660

Total Claims

608

Beneficiaries

Codes Billed

2018-10

First Month

2024-09

Last Month

Provider Details

Authorized Official	LEGUM, JOSHUA (CEO)
NPI Enumeration Date	11/30/2017

Other providers sharing the same authorized official: LEGUM, JOSHUA

Provider	City	State	Total Paid
LAURELS EDGE ALF LLC	MANKATO	MN	$2.25M
BAYSIDE MANOR ASSISTED LIVING LLC	GAYLORD	MN	$2.21M
THE BEACON AT LAKE CRYSTAL	LAKE CRYSTAL	MN	$1.35M
ESTATES AT CHATEAU LLC	MINNEAPOLIS	MN	$782K
ESTATES AT ST LOUIS PARK LLC	ST LOUIS PARK	MN	$633K
ESTATES AT BLOOMINGTON LLC	BLOOMINGTON	MN	$577K
PARMLY ON THE LAKE ASSISTED LIVING LLC	CHISAGO CITY	MN	$374K
THE ESTATES AT ANOKA LLC	ANOKA	MN	$84K
MALA STRANA ALF LLC	NEW PRAGUE	MN	$65K
ESTATES AT ROSEVILLE LLC	ROSEVILLE	MN	$31K
ESTATES AT DELANO LLC	DELANO	MN	$30K
HILLCREST HEALTH CARE LLC	MANKATO	MN	$22K
SUPERIOR REHABILITATION CENTER LLC	SUPERIOR	WI	$13K
ESTATES AT EXCELSIOR LLC	EXCELSIOR	MN	$11K
ESTATES AT LYNNHURST LLC	SAINT PAUL	MN	$8K
OAKLAWN HEALTH CARE LLC	MANKATO	MN	$4K
MAPLEWOOD REHABILITATION CENTER LLC	MAPLEWOOD	MN	$3K
LAURELS PEAK HEALTH CARE LLC	MANKATO	MN	$3K
ESTATES AT FRIDLEY LLC	FRIDLEY	MN	$1K
ESTATES AT LINDEN LLC	STILLWATER	MN	$317.20

Code	Description	Claims	Beneficiaries	Total Paid
90662		160	156	$10K
91322		59	58	$8K
G0008	Administration of influenza virus vaccine	214	204	$4K
90677		12	12	$3K
90480		59	58	$2K
Q3014	Telehealth originating site facility fee	96	66	$2K
G0009	Administration of pneumococcal vaccine	12	12	$373.68
Q2038	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	48	42	$0.00