Nursing facility
1748 Highland Avenue Operator LLC
1748 Highland Avenue Operator LLC was paid $1.74M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is S0340, Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage — 37% of everything it billed.
33Billing provider info1748 HIGHLAND AVENUE OPERATOR LLC
FALL RIVER, MA 02720
FALL RIVER, MA 02720
33aNPI1790201895assigned 08/21/2017
33bProvider typeSkilled Nursing Facility
28Total paid$1.74M
24GClaims51,188
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Skilled Nursing Facility providers in Massachusetts
Rank by total paid#16 of 400
Median peer was paid$58K
This provider vs. median30×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official STEPHAN, WILLIAM controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,019 | $47K | |
| 2019 | 9,469 | $93K | |
| 2020 | 6,121 | $47K | |
| 2021 | 3,078 | $27K | |
| 2022 | 260 | $2K | |
| 2023 | 10,107 | $625K | |
| 2024incomplete | 16,134 | $900K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0340 | Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage | 37% | 13,117 | 456 | $641K |
| S0341 | Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage | 31% | 11,156 | 405 | $536K |
| S0317 | Disease management program; per diem | 20% | 2,449 | 126 | $350K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 6.9% | 9,130 | 993 | $120K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 3.1% | 5,512 | 753 | $54K |
| 97535 | Self-care/home management training, each 15 minutes | 1.3% | 1,842 | 284 | $23K |
| 97116 | <1% | 1,560 | 232 | $12K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 265 | 41 | $2K |
| 97162 | <1% | 78 | 73 | $1K | |
| 97166 | <1% | 34 | 31 | $665.78 | |
| 97165 | <1% | 27 | 27 | $551.99 | |
| 97542 | <1% | 44 | 13 | $445.37 |
11 more codes
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 88 | $264.70 |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 5,275 | $248.12 |
| G8982 | Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 21 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 50 | $0.00 |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 23 | $0.00 |
| 90688 | 0% | 17 | $0.00 | |
| G8980 | Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting | 0% | 12 | $0.00 |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 19 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 276 | $0.00 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 160 | $0.00 |
| 90756 | 0% | 33 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSTEPHAN, WILLIAM (CFO)
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|---|---|---|
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.