MONT MARIE OPERATOR LLC
NPI: 1922415470
· HOLYOKE, MA 01040
· 314000000X
$414K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
30 |
$0.00 |
| 2020 |
38 |
$0.00 |
| 2021 |
162 |
$1K |
| 2022 |
253 |
$2K |
| 2023 |
408 |
$179K |
| 2024 |
299 |
$232K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0340 |
Lifestyle mod 1st stage |
409 |
289 |
$409K |
| 97530 |
|
424 |
63 |
$5K |
| 97535 |
|
58 |
26 |
$387.01 |
| 97112 |
|
36 |
13 |
$280.38 |
| 97110 |
|
75 |
14 |
$98.10 |
| G0008 |
Admin influenza virus vac |
94 |
73 |
$0.00 |
| 90688 |
|
52 |
52 |
$0.00 |
| 90756 |
|
42 |
21 |
$0.00 |