VANTAGE AT HAMPDEN LLC
NPI: 1720749468
· HAMPDEN, MA 01036
· Skilled Nursing Facility
· NPI assigned 01/05/2022
$543K
Total Medicaid Paid
Provider Details
| Authorized Official | YUROWITZ, SAM (OWNER) |
| NPI Enumeration Date | 01/05/2022 |
Related Entities
Other providers sharing the same authorized official: YUROWITZ, SAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
29 |
$0.00 |
| 2023 |
918 |
$240K |
| 2024 |
6,923 |
$303K |
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 |
7,537 |
350 |
$496K |
| S0317 |
Disease management program; per diem |
13 |
13 |
$24K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
263 |
94 |
$23K |
| 91322 |
|
14 |
14 |
$0.00 |
| 90756 |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |