BAY AT BELMONT HEALTH AND REHABILITATION CENTER LLC

NPI: 1811658438 · MADISON, WI 53714 · Skilled Nursing Facility · NPI assigned 01/05/2022

$2K

Total Medicaid Paid

135

Total Claims

Beneficiaries

Codes Billed

2022-02

First Month

2022-03

Last Month

Provider Details

Authorized Official	RUVEL, MENACHEM (MANAGING MEMBER)
NPI Enumeration Date	01/05/2022

Other providers sharing the same authorized official: RUVEL, MENACHEM

Provider	City	State	Total Paid
THE BAY AT BURLINGTON HEALTH AND REHABILITATION LLC	BURLINGTON	WI	$18K
THE BAY AT WATERS EDGE HEALTH AND REHABILITATION LLC	KENOSHA	WI	$9K
BAY AT SURING HEALTH AND REHABILITATION CENTER LLC	SURING	WI	$5K
THE BAY AT SHERIDAN HEALTH AND REHABILITATION LLC	KENOSHA	WI	$4K
THE BAY AT NORTH RIDGE HEALTH AND REHABILITATION LLC	MANITOWOC	WI	$4K
THE BAY AT EASTVIEW HEALTH AND REHABILITATION LLC	ANTIGO	WI	$2K
THE BAY AT COLONIAL MANOR HEALTH AND REHABILITATION LLC	WAUSAU	WI	$2K
MNH OPCO LLC	MANAHAWKIN	NJ	$0.00
THE BAY AT HIGHLANDS HEALTH AND REHABILITATION CENTER LLC	MEMPHIS	TN	$0.00

Year	Claims	Total Paid
2022	135	$2K

Code	Description	Claims	Beneficiaries	Total Paid
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	90	26	$900.00
S0215	Non-emergency transportation; mileage, per mile	45	26	$665.00