Nursing facility
Hacienda Skilled Nursing Facility
Hacienda Skilled Nursing Facility was paid $8K by Medicaid between Mar 2018 and Aug 2018, across 2 billing codes. Its largest line is S0209, Wheelchair van, mileage, per mile — 65% of everything it billed.
33Billing provider infoHACIENDA SKILLED NURSING FACILITY
PHOENIX, AZ 85042
PHOENIX, AZ 85042
33aNPI1831322676assigned 08/27/2009
33bProvider typePediatric Skilled Nursing Facility
28Total paid$8K
24GClaims263
24DCodes billed2
24AFirst – last monthMar 2018 – Aug 2018
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 | 263 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0209 | Wheelchair van, mileage, per mile | 65% | 132 | 52 | $5K |
| A0130 | Non-emergency transportation: wheelchair van | 35% | 131 | 52 | $3K |
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 officialSKURDAHL, DALE (CHIEF OPERATING OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Los Ninos Hospital INC. | Phoenix, AZ | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.