383 MILL STREET OPERATOR LLC
NPI: 1760911135
· WORCESTER, MA 01602
· 314000000X
$1.13M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,567 |
$9K |
| 2019 |
3,111 |
$15K |
| 2020 |
6,568 |
$43K |
| 2021 |
6,183 |
$40K |
| 2022 |
6,031 |
$120K |
| 2023 |
8,889 |
$431K |
| 2024 |
9,627 |
$468K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0340 |
Lifestyle mod 1st stage |
11,885 |
417 |
$593K |
| S0341 |
Lifestyle mod 2 or 3 stage |
7,920 |
279 |
$395K |
| 97530 |
|
7,680 |
816 |
$79K |
| 97112 |
|
2,992 |
370 |
$22K |
| 97535 |
|
1,659 |
223 |
$18K |
| 97116 |
|
1,732 |
228 |
$13K |
| 92526 |
|
188 |
32 |
$3K |
| 97110 |
|
7,310 |
813 |
$2K |
| 97150 |
|
327 |
107 |
$1K |
| 97161 |
|
13 |
13 |
$270.28 |
| 97165 |
|
12 |
12 |
$233.04 |
| G8988 |
Self care goal status |
19 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
59 |
59 |
$0.00 |
| 90688 |
|
21 |
21 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
20 |
20 |
$0.00 |
| 90670 |
|
20 |
20 |
$0.00 |
| G8979 |
Mobility goal status |
62 |
37 |
$0.00 |
| 90756 |
|
38 |
38 |
$0.00 |
| G8978 |
Mobility current status |
19 |
12 |
$0.00 |