Nursing facility
Coral Reef Operating LLC
Coral Reef Operating LLC was paid $95K by Medicaid between Feb 2018 and Sep 2021, across 13 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 49% of everything it billed.
33Billing provider infoCORAL REEF OPERATING LLC
MIAMI, FL 33157
MIAMI, FL 33157
33aNPI1922017425assigned 08/05/2006
33bProvider typeSkilled Nursing Facility
28Total paid$95K
24GClaims6,578
24DCodes billed13
24AFirst – last monthFeb 2018 – Sep 2021
Compared with peers
Next to other Skilled Nursing Facility providers in Florida
Rank by total paid#397 of 685
Median peer was paid$160K
This provider vs. median0.6×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,593 | $33K | |
| 2019 | 2,328 | $33K | |
| 2021 | 2,657 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 49% | 2,594 | 128 | $46K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 24% | 1,767 | 117 | $22K |
| 92526 | 7.4% | 486 | 26 | $7K | |
| 97535 | Self-care/home management training, each 15 minutes | 7.0% | 778 | 107 | $7K |
| 97162 | 4.7% | 18 | 13 | $5K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.4% | 324 | 58 | $2K |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 2.1% | 105 | 51 | $2K |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | 1.8% | 74 | 49 | $2K |
| 97116 | 1.7% | 356 | 25 | $2K | |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | <1% | 28 | 13 | $79.15 |
| 97167 | <1% | 14 | 14 | $79.15 | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | <1% | 20 | 13 | $79.15 |
1 more codes
| G8989 | Self care functional limitation, discharge status, at discharge from therapy or to end reporting | 0% | 14 | $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 officialUHLENBURG, GAYLE (MEMBER)