Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pelican Pointe Health and Rehabilitation Center LLC

Pelican Pointe Health and Rehabilitation Center LLC was paid $92K by Medicaid between Apr 2022 and Nov 2024, across 6 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 82% of everything it billed.

33Billing provider infoPELICAN POINTE HEALTH AND REHABILITATION CENTER LLC
WINDSOR, CO 80550
33aNPI1609442656assigned 06/01/2021
33bProvider typeRespite Care
28Total paid$92K
24GClaims7,463
24DCodes billed6
24AFirst – last monthApr 2022 – Nov 2024
Compared with peers

Next to other Respite Care providers in Colorado

Rank by total paid#58 of 87
Median peer was paid$331K
This provider vs. median0.3×

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 MARGULIES, ZISHA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
20223,582$45K
20232,911$31K
2024incomplete970$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 82% 4,550 264 $75K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 9.1% 806 107 $8K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.7% 1,161 105 $4K
97116 4.5% 754 86 $4K
97166 <1% 20 16 $104.85
97535 Self-care/home management training, each 15 minutes 0% 172 38 $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 officialMARGULIES, ZISHA (CEO)
Same official

Other billing entities under MARGULIES, ZISHA

Full network →

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