Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › DALTON › GAHCR II DALTON SNF TRS SUB, LLC

GAHCR II DALTON SNF TRS SUB, LLC

NPI: 1710304621 · DALTON, MA 01226 · Skilled Nursing Facility · NPI assigned 03/28/2014

$424.11
Total Medicaid Paid
142
Total Claims
111
Beneficiaries
6
Codes Billed
2018-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBANE, RICHARD (OWNER/MEMBER)
NPI Enumeration Date03/28/2014

Related Entities

Other providers sharing the same authorized official: BANE, RICHARD

ProviderCityStateTotal Paid
GAHCR II PITTSFIELD MA SNF TRS SUB, LLC PITTSFIELD MA $289K
BANE JOHN SCOTT, LLC BRAINTREE MA $58K
BANE BRIGHTON HOUSE, LLC BRIGHTON MA $7K
BANE HANCOCK PARK, LLC QUINCY MA $2K
BANE HARBOR HOUSE, LLC HINGHAM MA $365.70
BANE BAY PATH, LLC DUXBURY MA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 43 $424.11
2022 58 $0.00
2023 17 $0.00
2024 24 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 43 12 $424.11
90662 12 12 $0.00
G0008 Administration of influenza virus vaccine 44 44 $0.00
90686 15 15 $0.00
90677 14 14 $0.00
G0009 Administration of pneumococcal vaccine 14 14 $0.00