Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

1199 John Fitch Highway Operator, LLC

1199 John Fitch Highway Operator, LLC was paid $1.70M by Medicaid between Apr 2018 and Nov 2024, across 11 billing codes. Its largest line is S0340, Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage — 93% of everything it billed.

33Billing provider info1199 JOHN FITCH HIGHWAY OPERATOR, LLC
FITCHBURG, MA 01420
33aNPI1881123263assigned 06/08/2017
33bProvider typeSkilled Nursing Facility
28Total paid$1.70M
24GClaims42,669
24DCodes billed11
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers

Next to other Skilled Nursing Facility providers in Massachusetts

Rank by total paid#17 of 400
Median peer was paid$58K
This provider vs. median29×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official STEPHAN, WILLIAM controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018356$3K
2019896$6K
20206,186$34K
20211,726$10K
20222,700$138K
202315,275$768K
2024incomplete15,530$744K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0340 Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage 93% 31,773 1,108 $1.58M
S0341 Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage 4.2% 1,680 62 $71K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2.1% 3,379 369 $35K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,528 235 $10K
97116 <1% 903 124 $5K
97535 Self-care/home management training, each 15 minutes <1% 283 51 $2K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 79 27 $315.11
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 2,934 317 $189.78
90756 0% 29 29 $0.00
90688 0% 26 26 $0.00
G0008 Administration of influenza virus vaccine 0% 55 55 $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 officialSTEPHAN, WILLIAM (CHIEF FINANCIAL OFFICER)
Parent organizationNEXT STEP HEALTHCARE LLC
Same official

Other billing entities under STEPHAN, WILLIAM

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.