Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1199 JOHN FITCH HIGHWAY OPERATOR, LLC

NPI: 1881123263 · FITCHBURG, MA 01420 · Skilled Nursing Facility · NPI assigned 06/08/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official STEPHAN, WILLIAM controls 20+ related entities in our dataset. Read more

$1.70M
Total Medicaid Paid
42,669
Total Claims
2,403
Beneficiaries
11
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTEPHAN, WILLIAM (CHIEF FINANCIAL OFFICER)
Parent OrganizationNEXT STEP HEALTHCARE LLC
NPI Enumeration Date06/08/2017

Related Entities

Other providers sharing the same authorized official: STEPHAN, WILLIAM

ProviderCityStateTotal Paid
1748 HIGHLAND AVENUE OPERATOR LLC FALL RIVER MA $1.74M
460 WASHINGTON STREET OPERATOR LLC NORWOOD MA $1.61M
383 MILL STREET OPERATOR LLC WORCESTER MA $1.13M
8 COLONIAL DRIVE OPERATOR LLC WESTBOROUGH MA $1.02M
19 OBERY STREET OPERATOR LLC PLYMOUTH MA $1.01M
40 MARTIN STREET OPERATOR LLC MELROSE MA $889K
193 PLEASANT STREET OPERATOR LLC ATTLEBORO MA $613K
1102 WASHINGTON STREET OPERATOR LLC BRAINTREE MA $483K
76 NORTH STREET OPERATOR LLC MIDDLEBORO MA $470K
120 MAIN STREET OPERATOR LLC MALDEN MA $429K
620A LAUREL STREET OPERATOR LLC LEE MA $371K
25 ARMORY STREET OPERATOR LLC WEST NEWTON MA $351K
ONE LOVE LANE OPERATOR LLC SOUTH DENNIS MA $226K
50 INDIAN NECK ROAD OPERATOR LLC WAREHAM MA $134K
146 DEAN STREET OPERATOR LLC TAUNTON MA $110K
160 MAIN STREET OPERATOR LLC WALPOLE MA $67K
27 GEORGE STREET OPERATOR LLC ATTLEBORO MA $62K
55 HARRIS ROAD OPERATOR LLC NASHUA NH $39K
1200 SUFFIELD STREET OPERATOR LLC AGAWAM MA $34K
1007 EAST STREET OPERATOR LLC DEDHAM MA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 356 $3K
2019 896 $6K
2020 6,186 $34K
2021 1,726 $10K
2022 2,700 $138K
2023 15,275 $768K
2024 15,530 $744K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0340 Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage 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 1,680 62 $71K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,379 369 $35K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,528 235 $10K
97116 903 124 $5K
97535 Self-care/home management training, each 15 minutes 283 51 $2K
97150 Therapeutic procedure(s), group (2 or more individuals) 79 27 $315.11
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,934 317 $189.78
90756 29 29 $0.00
90688 26 26 $0.00
G0008 Administration of influenza virus vaccine 55 55 $0.00