MYSTIC MEADOWS SNF LLC

NPI: 1659082873 · LITTLE EGG HARBOR TWP, NJ 08087 · Skilled Nursing Facility · NPI assigned 12/08/2022

$483.82

Total Medicaid Paid

2,048

Total Claims

250

Beneficiaries

Codes Billed

2024-08

First Month

2024-10

Last Month

Provider Details

Authorized Official	BAK, PINCHOS (AUTHORIZED SIGNER)
NPI Enumeration Date	12/08/2022

Other providers sharing the same authorized official: BAK, PINCHOS

Provider	City	State	Total Paid
BRIDE BROOK SNF OPERATIONS LLC	NIANTIC	CT	$61K
PENDLETON SNF OPERATIONS LLC	MYSTIC	CT	$15K
VERNON MANOR SNF OPERATIONS LLC	VERNON	CT	$2K
GARDENVIEW OPCO LLC	WILLIAMSTOWN	NJ	$2K
HAZEL STREET OPERATIONS LLC	CLIFTON	NJ	$825.11
CRANFORD SNF LLC	CRANFORD	NJ	$696.19
CINNAMINSON NURSING LLC	CINNAMINSON	NJ	$358.25
RIVER'S EDGE SNF LLC	RARITAN	NJ	$57.44

Year	Claims	Total Paid
2024	2,048	$483.82

Code	Description	Claims	Beneficiaries	Total Paid
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	649	58	$385.59
97530	Therapeutic activities, direct patient contact, each 15 minutes	552	63	$46.54
97116		349	43	$24.16
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	366	56	$15.65
97150	Therapeutic procedure(s), group (2 or more individuals)	132	30	$11.88