Nursing facility
Hialeah Enterprise, LLC
Hialeah Enterprise, LLC was paid $3.80M by Medicaid between Jan 2018 and Jan 2022, across 15 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 36% of everything it billed.
33Billing provider infoHIALEAH ENTERPRISE, LLC
HIALEAH, FL 33010
HIALEAH, FL 33010
33aNPI1790846079assigned 12/12/2006
33bProvider typeSkilled Nursing Facility
28Total paid$3.80M
24GClaims49,291
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Skilled Nursing Facility providers in Florida
Rank by total paid#25 of 685
Median peer was paid$160K
This provider vs. median24×
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.
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 | 4,124 | $908K | |
| 2019 | 14,109 | $873K | |
| 2020 | 11,801 | $901K | |
| 2021 | 19,109 | $1.10M | |
| 2022 | 148 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 36% | 15,679 | 843 | $1.38M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 31% | 14,672 | 726 | $1.17M |
| 97535 | Self-care/home management training, each 15 minutes | 14% | 5,889 | 505 | $547K |
| 92526 | 10% | 7,949 | 674 | $390K | |
| 97116 | 5.9% | 2,758 | 230 | $223K | |
| 97166 | <1% | 485 | 281 | $28K | |
| 97162 | <1% | 406 | 228 | $25K | |
| 92610 | <1% | 481 | 289 | $22K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 408 | 43 | $4K |
| G8997 | Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 53 | 26 | $2K |
| G0008 | Administration of influenza virus vaccine | 0% | 256 | 199 | $0.00 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 119 | 90 | $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 officialDIAL, EMMA (ADMINISTRATOR)