Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

1748 HIGHLAND AVENUE OPERATOR LLC

NPI: 1790201895 · FALL RIVER, MA 02720 · Skilled Nursing Facility · NPI assigned 08/21/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official STEPHAN, WILLIAM controls 20+ related entities in our dataset. Read more

$1.74M
Total Medicaid Paid
51,188
Total Claims
4,598
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTEPHAN, WILLIAM (CFO)
NPI Enumeration Date08/21/2017

Related Entities

Other providers sharing the same authorized official: STEPHAN, WILLIAM

ProviderCityStateTotal Paid
1199 JOHN FITCH HIGHWAY OPERATOR, LLC FITCHBURG MA $1.70M
460 WASHINGTON STREET OPERATOR LLC NORWOOD MA $1.61M
383 MILL STREET OPERATOR LLC WORCESTER MA $1.13M
8 COLONIAL DRIVE OPERATOR LLC WESTBOROUGH MA $1.02M
19 OBERY STREET OPERATOR LLC PLYMOUTH MA $1.01M
40 MARTIN STREET OPERATOR LLC MELROSE MA $889K
193 PLEASANT STREET OPERATOR LLC ATTLEBORO MA $613K
1102 WASHINGTON STREET OPERATOR LLC BRAINTREE MA $483K
76 NORTH STREET OPERATOR LLC MIDDLEBORO MA $470K
120 MAIN STREET OPERATOR LLC MALDEN MA $429K
620A LAUREL STREET OPERATOR LLC LEE MA $371K
25 ARMORY STREET OPERATOR LLC WEST NEWTON MA $351K
ONE LOVE LANE OPERATOR LLC SOUTH DENNIS MA $226K
50 INDIAN NECK ROAD OPERATOR LLC WAREHAM MA $134K
146 DEAN STREET OPERATOR LLC TAUNTON MA $110K
160 MAIN STREET OPERATOR LLC WALPOLE MA $67K
27 GEORGE STREET OPERATOR LLC ATTLEBORO MA $62K
55 HARRIS ROAD OPERATOR LLC NASHUA NH $39K
1200 SUFFIELD STREET OPERATOR LLC AGAWAM MA $34K
1007 EAST STREET OPERATOR LLC DEDHAM MA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,019 $47K
2019 9,469 $93K
2020 6,121 $47K
2021 3,078 $27K
2022 260 $2K
2023 10,107 $625K
2024 16,134 $900K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0340 Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage 13,117 456 $641K
S0341 Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage 11,156 405 $536K
S0317 Disease management program; per diem 2,449 126 $350K
97530 Therapeutic activities, direct patient contact, each 15 minutes 9,130 993 $120K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 5,512 753 $54K
97535 Self-care/home management training, each 15 minutes 1,842 284 $23K
97116 1,560 232 $12K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 265 41 $2K
97162 78 73 $1K
97166 34 31 $665.78
97165 27 27 $551.99
97542 44 13 $445.37
97150 Therapeutic procedure(s), group (2 or more individuals) 88 38 $264.70
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,275 733 $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 21 12 $0.00
G0008 Administration of influenza virus vaccine 50 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 23 13 $0.00
90688 17 17 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 12 12 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 19 13 $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 276 144 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 160 99 $0.00
90756 33 33 $0.00