464 MAIN STREET OPERATIONS LLC
NPI: 1699957415
· AGAWAM, MA 01001
· Skilled Nursing Facility
· NPI assigned 12/04/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official BERG, MICHAEL controls 20+ related entities in our dataset. Read more
$284K
Total Medicaid Paid
Provider Details
| Authorized Official | BERG, MICHAEL (ASST SECRETARY) |
| NPI Enumeration Date | 12/04/2007 |
Related Entities
Other providers sharing the same authorized official: BERG, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
87 |
$1K |
| 2019 |
352 |
$5K |
| 2022 |
721 |
$34K |
| 2023 |
7,486 |
$244K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0340 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage |
8,145 |
210 |
$279K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
417 |
51 |
$6K |
| 90662 |
|
15 |
15 |
$0.00 |
| 0124A |
|
16 |
16 |
$0.00 |
| 0004A |
|
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| G8988 |
Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
22 |
12 |
$0.00 |