1102 WASHINGTON STREET OPERATOR LLC
NPI: 1902322092
· BRAINTREE, MA 02184
· 314000000X
$483K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,341 |
$15K |
| 2019 |
6,725 |
$57K |
| 2020 |
1,400 |
$12K |
| 2022 |
1,009 |
$46K |
| 2023 |
5,941 |
$281K |
| 2024 |
1,479 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0341 |
Lifestyle mod 2 or 3 stage |
5,653 |
184 |
$270K |
| S0340 |
Lifestyle mod 1st stage |
2,776 |
90 |
$129K |
| 97530 |
|
3,054 |
291 |
$48K |
| S0317 |
Disease mgmt per diem |
5,012 |
198 |
$32K |
| 97535 |
|
226 |
28 |
$3K |
| 97140 |
|
80 |
12 |
$663.81 |
| 97112 |
|
47 |
12 |
$342.72 |
| 97150 |
|
100 |
24 |
$311.60 |
| G0008 |
Admin influenza virus vac |
21 |
21 |
$0.00 |
| G8979 |
Mobility goal status |
30 |
12 |
$0.00 |
| 97110 |
|
850 |
95 |
$0.00 |
| G8978 |
Mobility current status |
25 |
12 |
$0.00 |
| 90756 |
|
21 |
21 |
$0.00 |