SOUTHWEST LTC - WATERTON LLC
NPI: 1871919431
· TYLER, TX 75703
· Skilled Nursing Facility
· NPI assigned 03/06/2014
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PAYNE, RONALD (MANAGER) |
| NPI Enumeration Date | 03/06/2014 |
Related Entities
Other providers sharing the same authorized official: PAYNE, RONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
804 |
$0.00 |
| 2022 |
343 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
286 |
64 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
535 |
77 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
326 |
66 |
$0.00 |