Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEW VISTA PAC OPERATOR, LLC

NPI: 1881932424 · LOS ANGELES, CA 90025 · Skilled Nursing Facility · NPI assigned 01/16/2013

$156K
Total Medicaid Paid
8,341
Total Claims
602
Beneficiaries
6
Codes Billed
2019-01
First Month
2022-10
Last Month

Provider Details

Authorized OfficialCADABES, MELYN (EXECUTIVE VP TO THE PRESIDENT)
NPI Enumeration Date01/16/2013

Related Entities

Other providers sharing the same authorized official: CADABES, MELYN

ProviderCityStateTotal Paid
ROSE GARDEN RESIDENTIAL OPERATOR, LLC MENTONE CA $3.02M
NEW VISTA NURSING OPERATOR, LLC SUNLAND CA $518K
OAK PARK MANOR OPERATOR, LLC CLAREMONT CA $264K
FOOTHILL RETIREMENT OPERATOR, LLC TUJUNGA CA $160K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,911 $63K
2020 950 $17K
2021 2,407 $47K
2022 1,073 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4625 Tracheostomy care kit for new tracheostomy 2,993 105 $41K
A4623 Tracheostomy, inner cannula 2,897 105 $39K
97530 Therapeutic activities, direct patient contact, each 15 minutes 754 90 $29K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 929 107 $22K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 674 103 $20K
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each 94 92 $5K